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: | N |
| 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: |
CDD Requisition Form A
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| 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. |
| Rejection Criteria: | |
| Specimen Handling: | Non-tuberculous mycobacterial isolates should be packaged and transported according to DOT and IATA guidelines outlined for Category B Biological Substances. Cultures may be transported to the laboratory at ambient temperatures. Avoid temperature extremes during transport. |
| Packaging Requirements: | |
| Courier Information: | |
| Specimen Receiving Hours: | Monday-Friday 7:45 AM - 4:30 PM, Saturday 7:45 AM - 12:00 PM |
| Results Include: | |
| Limitations: | |
| Additional Tests Recommended: | |
| Additional Comments: | This test is not on the requisition form. Please write in under "other tests." 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: | 87186 |
| Price: | $62.00 |
| Fee Exempt Eligible: | N |
| Billing and Revenue Office: | 1-800-862-1065 arbill@slh.wisc.edu |