Primary Care

Methicillin Resistant Staphylococcus Aureus Culture Screen (MRSA)

 

Test Code: 90417

CPT Code: 87081

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

Clinical significance: The significance of any isolate in pure or mixed culture must be assessed with respect to the source cultured, the organism's pathogenic potential, the possibility of colonization versus infection, and the number of other organisms recovered in the same culture. This test may be useful in the detection of agents of epiglottis and thrush and A. haemolyticum.

Culture, Nasopharyngeal / Nasal

Test Code: 4482

CPT Code(s): 87070

Includes: If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87143 or 87147 or 87140 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Methodology: Bacteriologic culture. Aerobic includes routine isolation and identification procedures. Antibiotic susceptibility testing when appropriate.

Culture, Genital

Test code: 4558

CPT code(s): 87070

Clinical Significance:
The significance of any isolate(s), in pure or mixed culture, must be assessed with respect to the source cultured, the organism's pathogenic potential, the possibility of colonization versus infection, and the number of other organisms recovered from the same culture.

Culture, Ear, External

Test Code: 4477

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).

Metholodology: Bacterial culture, aerobic routine isolation and identification procedures, antibiotic susceptibility testing when appropriate

Culture, Aerobic and Anaerobic

Test Code: 4446

CPT Code(s): 87070, 87075, 87205

Clinical Significance: Deep wound/abscess infections are often caused by a mixture of aerobic and anaerobic bacteria.

Includes Aerobic culture, Anaerobic culture and Gram stain. If culture is positive, identification will be performed at an additional charge (CPT code(s): 87076 and/or 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).

Influenza Type A and B and RSV RNA, Qualitative, Real-Time RT-PCR

Test code: 16086

CPT code(s): 87502

Methodology: Real-Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)

Reference range(s): Not detected

Alternative name(s): Flu A, Flu B

Clinical significance: This test is used to determine the presence of Influenza A or B in a patient's specimen. Organisms may be detected by 
PCR prior to diagnosis by immunological methods. PCR
 provides more rapid results than other methods, including 
culture.