Acid-fast Organism Identification by PCR, MALDI-TOF and/or Sequencing With Reflex to Susceptibility Testing

Test Number 183166

CPT 87150

Synonyms

AFB Culture, Identification, Susceptibility

Test Details

Methodology

Identification by PCR, MALDI-TOF and/or nucleic acid sequencing, plus broth-based and/or conventional susceptibility testing

Result Turnaround Time

20 - 28 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Use

This test is used to identify and determine susceptibility of acid-fast bacteria referred from another laboratory that has performed the culture of the clinical sample. Note: PCR testing for M. avium and M. tuberculosis will only be performed on VersaTREK liquid-based broth submissions. Organisms not identified by PCR will have additional charges for identification by MALDI-TOF and/or nucleic acid sequencing.

Special Instructions

If reflex test is performed, additional charges/CPT code(s) may apply.

Limitations

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Specimen Requirements

Specimen

Isolated acid-fast bacillus (AFB) on agar or egg-based media; broth system positive for AFB (ensure it is not contaminated with non acid-fast bacteria)

Volume

Entire container

Container

Screw cap agar-slant tube; bacterial swab transport inoculated with isolated colonies from a pure culture; liquid-based broth tube from BD, bioMerieux or VersaTREK (slant, swab or liquid-based broth must be packed as an etiologic agent)

Storage Instructions

Maintain specimen at room temperature.

Causes for Rejection

Specimen received leaking or in broken transport tube or vial; unlabeled or name discrepancy between specimen and request label; primary clinical specimen received

LOINC® Map

Order Code	Order Code Name	Order Loinc	Result Code	Result Code Name	Result LOINC
183166	AFB ID+Susceptibilities	94541-0	183163	M tuberculosis complex	88874-3
183166	AFB ID+Susceptibilities	94541-0	183164	M avium complex	71719-9
183166	AFB ID+Susceptibilities	94541-0	183167	Reflex ID by MALDI	N/A
183166	AFB ID+Susceptibilities	94541-0	183168	Other:	N/A
183166	AFB ID+Susceptibilities	94541-0	183708	Susceptibility Testing	19156-9
Order Code	183166
Order Code Name	AFB ID+Susceptibilities
Order Loinc	94541-0
Result Code	183163
Result Code Name	M tuberculosis complex
UofM
Result LOINC	88874-3
Order Code	183166
Order Code Name	AFB ID+Susceptibilities
Order Loinc	94541-0
Result Code	183164
Result Code Name	M avium complex
UofM
Result LOINC	71719-9
Order Code	183166
Order Code Name	AFB ID+Susceptibilities
Order Loinc	94541-0
Result Code	183167
Result Code Name	Reflex ID by MALDI
UofM
Result LOINC	N/A
Order Code	183166
Order Code Name	AFB ID+Susceptibilities
Order Loinc	94541-0
Result Code	183168
Result Code Name	Other:
UofM
Result LOINC	N/A
Order Code	183166
Order Code Name	AFB ID+Susceptibilities
Order Loinc	94541-0
Result Code	183708
Result Code Name	Susceptibility Testing
UofM
Result LOINC	19156-9

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

Reflex Table for Reflex ID by MALDI
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	183402	Organism ID by MALDI	183403	Organism ID by MALDI	76346-6
Reflex 1
Order Code	183402
Order Name	Organism ID by MALDI
Result Code	183403
Result Name	Organism ID by MALDI
UofM
Result LOINC	76346-6

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