Culture, Blood with Reflex to Molecular Identification

Test Code

13954

CPT Code(s)

87040

Test Code

13954

CPT Code(s)

87040

Not offered in Quest Nichols Institute - Chantilly, VA | Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.

In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Culture, Blood with Reflex to Molecular Identification - Bacterial sepsis constitutes one of the most serious infectious diseases. The detection of microorganisms in a patient's blood has importance in the diagnosis and prognosis of endocarditis, septicemia, or chronic bacteremia.

Test Resources

Test FAQ

Culture, Blood with Reflex Molecular Identification

Test Summary

Culture, Blood With Reflex to Molecular Identification

Test Details

Includes

Aerobic Culture and Anaerobic Culture

If culture is positive, then molecular identification from the blood culture bottle will be performed at an additional charge (CPT code(s): 87154) and culture identification will also be performed at an additional charge (CPT code(s): 87076 or 87106 or 87077 or 87140 or 87143 or 87147 or 87149).

Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Methodology

Culture using automated continuous monitoring system

Reference Range(s)

Not Detected

Alternative Name(s)

Blood Cultures, Manual,Bactec Blood Culture,Bactec Bottles,Listeria Culture,Brucella, Blood Culture,Blood Cultures, Bactec,Blood Culture Molecular ID

LOINC® Codes, Performing Laboratory

Service Area must be determined

Includes

Aerobic Culture and Anaerobic Culture

If culture is positive, then molecular identification from the blood culture bottle will be performed at an additional charge (CPT code(s): 87154) and culture identification will also be performed at an additional charge (CPT code(s): 87076 or 87106 or 87077 or 87140 or 87143 or 87147 or 87149).

Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Methodology

Culture using automated continuous monitoring system

Reference Range(s)

Not Detected

Alternative Name(s)

Blood Cultures, Manual,Bactec Blood Culture,Bactec Bottles,Listeria Culture,Brucella, Blood Culture,Blood Cultures, Bactec,Blood Culture Molecular ID

LOINC® Codes, Performing Laboratory

Service Area must be determined

Preferred Specimen(s)

Adults: 8-10 mL of blood collected in one of each BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles

Neonates and children 1 to 6 years: 1-3 mL blood collected in a BacT/ALERT PF PLUS (Yellow) bottle

Children weighing 30-80 lbs: 3 mL blood collected in a BacT/ALERT PF PLUS (Yellow) bottle or
8-10 mL blood collected in one of each BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles

Alternative Specimen(s)

Bone marrow cultures: For adults, bone marrow collected in one of each BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles • Blood culture bottles compatible with local automated instrumentation

Minimum Volume

3 mL BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles • 0.5 mL BacT/ALERT PF PLUS (Yellow) bottle

Collection Instructions

Do not pre-incubate bottles prior to shipment

Transport Container

BacT/ALERT FA PLUS (Pale green) and BacT/ALERT FN PLUS (Orange) bottles or
BacT/ALERT PF PLUS (Yellow) bottle

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable

Reject Criteria

Blood specimens collected in an EDTA, sodium citrate or anticoagulants such as SPS or heparin

Setup Schedule

Service Area must be determined

Preferred Specimen(s)

Alternative Specimen(s)

Minimum Volume

3 mL BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles • 0.5 mL BacT/ALERT PF PLUS (Yellow) bottle

Collection Instructions

Do not pre-incubate bottles prior to shipment

Transport Container

BacT/ALERT FA PLUS (Pale green) and BacT/ALERT FN PLUS (Orange) bottles or
BacT/ALERT PF PLUS (Yellow) bottle

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable

Reject Criteria

Blood specimens collected in an EDTA, sodium citrate or anticoagulants such as SPS or heparin

Setup Schedule

Service Area must be determined

In-home collection is not available in your area through Quest Mobile.

Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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