Infectious Disease

Group B Strep Culture

Test Code(s) 5617

CPT Code(s) 87081

Includes If culture is positive, identification will be performed at an additional charge (CPT code(s): 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 Bacterial culture, aerobic isolation and identification. Procedure includes broth enhanced culture

Urinalysis, Reflex to Microscopic

Test Code: 7909

CPT Code(s): 81003

Includes: a microscopic examination is performed, when appropriate, at an additional charge (cpt code(s): 81015).

**This order code does not include Reflex to Culture**

If reflex to culture is desired: Please order Test Code 3020, “Urinalysis, Complete, with Reflex to Culture”

Methodology: Reagent impregnated strips/tablets/microscopic examination if urine macroscopic or dipstick indicates

Urinalysis, Complete, with Reflex to Culture

Test Code: 3020

CPT Code(s): 81001

Clinical Significance: Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection.

Includes: Macroscopic and Microscopic Examinations - A culture is performed, when appropriate, at an additional charge (CPT code(s): 87088, 87086).

Urine Culture

Urine Culture, Routine

Test Code: 395
CPT Code(s): 87086
Includes: If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge. Identification will be performed at an additional charge (CPT code(s): 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: Semi-quantitative culture techniques and conventional and/or rapid identification methods

Streptococcus Group A Rapid Antigen with Reflex to Culture

Test Code: 10553

CPT Code(s): 87880

Includes: If Streptococcus Group A Rapid Antigen is negative, a culture will be performed at an additional charge (CPT code(s): 87081).

Methodology: Immunochromatography Bacterial Culture, Aerobic Routine Isolation and Identification Procedures

Clinical Significance: A positive result from the antigen assay or isolation of Group A streptococci by culture from a symptomatic patient is usually considered clinically significant.

Methicillin Resistant Staphylococcus Aureus Culture Screen

Test Code: 90417

CPT Code: 87081

Methodology: Chrom Aagar method

Reference Range(s): No Methicillin Resistant Staphylococcus aureus (MRSA) isolated.

Clinical Significance: MRSA is a major cause of nosocomial and life-threatening infections. Infections with MRSA have been associated with a significantly high morbidity, mortality and cost. Selection of these organisms has been greatest in the health care setting. However, MRSA has also become more prevalent in the community.

HIV 1/2 Antigen/Antibody, Fourth Generation with Reflex

Test Code: 91431

CPT Code(s): 87389

Includes: If HIV Antigen and Antibody, 4th Generation Screen is Repeatedly Reactive, HIV-1/2 Antibody Differentiation will be performed at an additional charge (CPT code(s): 86701, 86702).
If HIV-1/2 Antibody Differentiation is Indeterminate or Negative, HIV-1 RNA, Qualitative, TMA will be performed at an additional charge (CPT code(s): 87535).

Methodology: Immunoassay (IA)

Reference Range(s): HIV Ag/Ab, 4th Generation - Non-Reactive

Culture, Throat

Test code: 394

CPT code(s): 87070

Includes: If culture is positive, identification will be performed at an additional charge (CPT code(s): 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: Bacterial culture, Aerobic routine isolation and Identification procedures; Antibiotic susceptibility testing (when appropriate)

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