Gram Stain

Gram Stain

Test Code

497
87205
497
87205
Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Gram Stain - The gram stain is a rapid, preliminary test to assess the quality of specimens, identify bacterial infections, and to guide the initial antibacterial therapy.

Test Resources

None found for this test
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Test Details

Methodology

Microscopic Examination

LOINC® Codes, Performing Laboratory

Methodology

Microscopic Examination

Preferred Specimen(s)

3 mL or 2 grams body fluids, CSF, lower respiratory tract specimens, urine or fresh (unfixed) tissue collected in a sterile leak-proof container
1 mL or 1 swab wound, exudates, aspirates, lesion material or ocular specimens collected in a sterile leak-proof container, Amies liquid, Amies gel swab transport system, Stuarts, ESwab, or Port-A-Cul™.
Slides are also acceptable.

Alternative Specimen(s)

3 mL stool collected in a sterile, leak-proof container

Minimum Volume

1 mL • 1 gram • 1 swab • 1 slide

Collection Instructions

⁠⁠⁠⁠⁠⁠⁠Specimen requirement: Primary specimen from any source in sterile leak-proof container or heat-fixed or methanol-fixed smear in a slide folder. Tissues or brushes in transport medium or in a small amount of sterile saline are acceptable. Stool will only be examined for campylobacter. If culture is requested second swab must be submitted.

Transport Container

⁠⁠⁠⁠⁠⁠⁠Body fluids, CSF, lower respiratory secretions, urine, tissue
Sterile leak-proof container (preferred), slide (acceptable)

Wound, exudates, aspirates, lesion material, ocular specimens
Sterile leak-proof container, Amies liquid, gel swab transport system, Stuarts, ESwab, or Port-A-Cul™ (preferred), slide (acceptable)

Transport Temperature

All specimens other than stool: Room temperature
Stool: Refrigerated (cold packs)

Specimen Stability

  • CSF
  • Room temperature: 48 hours
  • Refrigerated: Unacceptable
  • Frozen: Unacceptable
  •  
  • Stool
  • Room temperature: Unacceptable
  • Refrigerated: 48 hours
  • Frozen: Unacceptable
  •  
  • Port-A-Cul™
  • Room temperature: 72 hours
  • Refrigerated: 72 hours
  • Frozen: Unacceptable
  •  
  • All other specimen types
  • Room temperature: 48 hours
  • Refrigerated: 48 hours
  • Frozen: Unacceptable

Reject Criteria

Smears with cytology fixatives • Broken slides

Setup Schedule

3 mL or 2 grams body fluids, CSF, lower respiratory tract specimens, urine or fresh (unfixed) tissue collected in a sterile leak-proof container
1 mL or 1 swab wound, exudates, aspirates, lesion material or ocular specimens collected in a sterile leak-proof container, Amies liquid, Amies gel swab transport system, Stuarts, ESwab, or Port-A-Cul™.
Slides are also acceptable.
3 mL stool collected in a sterile, leak-proof container
1 mL • 1 gram • 1 swab • 1 slide
⁠⁠⁠⁠⁠⁠⁠Specimen requirement: Primary specimen from any source in sterile leak-proof container or heat-fixed or methanol-fixed smear in a slide folder. Tissues or brushes in transport medium or in a small amount of sterile saline are acceptable. Stool will only be examined for campylobacter. If culture is requested second swab must be submitted.
⁠⁠⁠⁠⁠⁠⁠Body fluids, CSF, lower respiratory secretions, urine, tissue
Sterile leak-proof container (preferred), slide (acceptable)

Wound, exudates, aspirates, lesion material, ocular specimens
Sterile leak-proof container, Amies liquid, gel swab transport system, Stuarts, ESwab, or Port-A-Cul™ (preferred), slide (acceptable)
All specimens other than stool: Room temperature
Stool: Refrigerated (cold packs)
CSF
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable

Stool
Room temperature: Unacceptable
Refrigerated: 48 hours
Frozen: Unacceptable

Port-A-Cul™
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

All other specimen types
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable
Smears with cytology fixatives • Broken slides
Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account.
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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