Extended Mycobacteria Susceptibility - National Jewish Health
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| WSLH Department: | CDD - Sendouts and Referred Testing |
| WSLH Test Code: | MM02879 |
| Day(s) Performed: | |
| Turn-around Time: | |
| Recommended Uses: | To determine the in vitro minimum inhibitory concentration (MIC) for clinically significant slowly-growing and rapidly-growing Mycobacterium species. |
| Pre-approval: | No |
| Contraindications: | |
| Additional Tests Performed: |
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| Preparation for Collection: | |
| Specimen Requirements: | Slowly-growing or rapidly-growing Mycobacterium isolate in broth or solid media; pure culture required for testing |
| Collection Instructions: | |
| Collection Kit/Container: |
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| Requisition Form: |
This test is not on the requisition form. Please write in under "other tests". |
| Required Information: | Mycobacterium species identification. Laboratory regulations require the following minimum information to be provided on the requisition form for a specimen to be accepted for testing: Patient name or unique identifier, date and time of collection, patient date of birth and sex, specimen type/site of collection, test request(s), clinician name and UPIN, and address for reporting results. Please be certain that name/identifier on the form matches that on the specimen label which is required to have a minimum of two identifiers. |
| Rejection Criteria: | |
| Specimen Handling: | Cultures may be transported to the laboratory at ambient temperatures. Avoid temperature extremes during transport. |
| Packaging Requirements: | |
| Courier Information: | Specimens submitted at the request of a public health department are eligible for fee-exempt courier. Contact Purple Mountain Dispatch at 800-990-9668 for specimen pickup. |
| Specimen Receiving Hours: | Monday-Friday 6:00 AM - 4:30 PM, Saturday 6:30 AM - 12:30 PM |
| Results Include: | |
| Limitations: | |
| Additional Tests Recommended: | |
| Additional Comments: | NOTE: This test cannot be ordered until an organism has been identified in a culture. Submitters requesting this testing on the same requisition form as specimens received for Mycobacteria (AFB) Smear and Culture (MM00250) or Mycobacteria Identification (MM00253) will be contacted by WSLH Customer Service and notified that they will need to submit an additional requisition for this testing after an organism has been identified. Unless specific drug(s) susceptibilities are requested, WSLH will automatically send isolates for the appropriate drug panel for the organism identified. |
| Methodology: | |
| Includes: | Susceptibility testing for slowly-growing and rapidly-growing mycobacteria species performed at National Jewish Health. |
| Regulatory Compliance: |
| CPT Code: | 99001 |
| Price: | $66.00 |
| Fee Exempt Eligible: | No |
| Billing and Revenue Office: | 1-800-862-1065 arbill@slh.wisc.edu |