Culture, Anaerobic Bacteria with Gram Stain
Test Code: 4469
CPT Code(s): 87075, 87205
Includes: If culture is positive, identification will be performed at an additional charge (CPT code(s): 87076 or 87143 or 87140 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87185 or 87186).
Clinical Significance: Culture, Anaerobic Bacteria with Gram Stain - Anaerobic bacteria cause a variety of human infections. The results of anaerobic cultures assist the clinician with diagnosis and treatment of patients with anaerobic infections.
Methodology: Direct Microscopy • Bacterial Culture • Anaerobic Isolation and Identification Procedures • Phenotypic • Matrix Assisted Laser Desorption Ionization-Time of Flight • Sequencing
Reference Range(s): No growth
Alternative Name(s): Deep Wound, Body Fluid Culture, Abscess Culture
Supply: #S12 ESwabTM Specimen Collection and Transport System - White Cap
Tissues and fluids are superior to a swab specimen. If swabs must be used, collect 2 transport swabs with Amies gel (blue cap), one for culture and one for gram stain.
Specimens not listed as acceptable may be processed for anaerobic culture only after consultation with a DLO microbiology scientific director. Purulent sterile body fluids not submitted in an anaerobic transport tube may be accepted for culture if received within 8 hours of collection.
Preferred Specimen(s): 3 mL or 3 grams abscess or deep wound, tissue, normally sterile body fluids other than blood, bronchoscopic specimens obtained by the Double Lumen Brush technique, suprapubic urine aspirates obtained from bladder, Nephrostomy tube or suprapubic catheterization, aspirated pus from deep wound/abscess/tympanocentesis fluid, genital specimens from these sites only: -cul-de-sac aspiration, -culdocentesis -percutaneous transfundal aspiration, fallopian tube, surgical specimens, exudates collected in eSwab (white-cap)
Minimum Volume: 1 mL or 1 gram
Instructions: Tissues and fluids are superior to a swab specimen. If swabs must be used, collect one ESwab (white-cap) for both culture and gram stain.
Specimens not listed as acceptable may be processed for anaerobic culture only after consultation with a DLO Microbiology Scientific Director.
Do not submit syringe with needle attached. If submitting syringe, remove needle, expel air and cap syringe. Purulent sterile body fluids not submitted in an anaerobic transport tube may be accepted for culture if received within 8 hours of collection.
Transport container: #S12 ESwabTM Specimen Collection and Transport System - White Cap
Transport temperature: Room Temperature
Specimen stability: Room temperature or refrigerated: 48 hours. Frozen: Unacceptable
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Specimens not submitted in anaerobic transport media/device
- Expired transport media
- Throat, nasopharyngeal, sputum or bronchoscopic specimens
- Specimens not collected by double lumen brush technique
- Stool and rectal swabs
- Urine-voided or catheter
- Vaginal and cervical swabs
- Specimens from sites contaminated with intestinal contents
- Superficial or fresh wounds
- External ear
- External eye
- Intrauterine device
- Tracheal aspirates
For additional supply or collection device information, please contact DLO's Customer Service at (800) 891-2917, option 2.
The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed.