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Test Code LAB6029 Culture, Bacterial, Blood

Important Note

Weekends/Holidays: Call for a special courier for blood cultures that miss the sites last pickup to Microbiology.

Additional Codes

Test Name in EPIC EPIC Test Code Mnemonic
CULTURE, BLOOD BACTERIAL LAB6029 Blood Cx

 

Useful For/Utility

Diagnosis and treatment of the etiologic agents of bacteremia.  Select patient population that presents with signs and symptoms of sepsis, especially fever of unknown origin.

Clinical Information

Identification and susceptibilities will be performed on all microbiology isolates considered by the laboratory to be significant.

Specimen Requirements

Whenever possible, culture specimens should be obtained before antibiotics or antimicrobial agents have been administered.

 

Specimen must remain at ambient temperature and arrive within 48 hours.

 

Specimen Type: Whole blood

Container/Tube: Blood culture bottle

Specimen Volume: 3-10 mL of blood per BACTEC Plus (1 blue-top [aerobe] and 1 gold-top or purple-top [anaerobe]) culture bottle.

Collection Instructions:

1. One anaerobe bottle is not acceptable.

2. If patient is difficult to draw or a small child, 3 mL of blood in a blue-top (aerobe) bottle or 1 to 3 mL of blood in a pink-top (pediatric) bottle is acceptable.

Additional Information:

1. No more than 3 sets of blood cultures in a 24-hour period will be accepted.

2. Indicate if subacute bacterial endocarditis (SBE) is suspected (including Brucella).

3. Culture will be held for 21 days.

Specimen Transport Temperature

Ambient ≤48 hours/Refrigerate NO/Frozen NO

 

Weekends/Holidays:  Call for a special courier for blood cultures that miss the sites last pickup to Microbiology.

Day(s) Test Set Up

Monday through Sunday

Performing Laboratory

Microbiology -

Central Region: St. Joseph's Medical Center Lab

East Region: SMDC Clinical Lab, Virginia Hospital Lab

West Region: Fargo Hospital Lab, Fosston Hospital Lab, St. Mary's - Detroit Lakes Hospital Lab

 

Test Classification and CPT Coding

87040

Additional CPT codes will be billed when appropriate.

Reference Values

Negative: preliminary report at 48 hours, final report at 5 days

Positive:

Inpatient: Results are called to nursing staff, that in turn notify the patient’s physician.

Ambulatory: Results are called to patient’s physician or physician on-call.