Laboratory Fee Schedule
Procedure #: MAA0018A
CPT: 87077, 87147
| Synonym(s): | Vibriosis, cholerae, parahaemolyticus, vulnificus |
|---|
| Requisition Form | G-2B |
|---|
| Test Description | Identification of Vibrio and related species from reference culture |
|---|
| Pre-Approval Needed | N/A |
|---|
| Supplemental Information Required | N/A |
|---|
| Supplemental Form(s) | N/A |
|---|
| Performed on Specimens from (sources) | Human |
|---|
| Sample/Specimen Type for Testing | Pure isolate |
|---|
| Minimum Volume/Size Required | At least one viable colony. |
|---|
| Storage/Preservation Prior to Shipping | Room temperature |
|---|
| Transport Medium | Appropriate medium that supports growth of Vibrio spp. |
|---|
| Specimen Labeling | - At least two patient identifiers are required on specimen (e.g., patient full name, date of birth, medical record number).
- Three patient identifiers are preferred.
- Patient identifiers on specimen label must exactly match identifiers on submission form. (e.g., abbreviated name on label and full name on form is not acceptable.)
- Additional DSHS Laboratory specimen labeling guidelines available online here.
|
|---|
| Shipping and Specimen Handling Requirements | - Ship specimens overnight at room temperature Monday-Thursday to avoid weekend deliveries.
- Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49.
- Category B Biological Substance, UN3373 shipping requirements apply.
- Handle as infectious agent using universal precautions.
- Triple-contain in accordance with federal shipping regulations.
- Submitters are responsible for packaging and shipping specimens according to regulatory requirements.
- Laboratory does not supply collection kits or shipping materials.
- Additional DSHS Laboratory specimen labeling guidelines online here.
|
|---|
| Method | - MALDI-TOF Mass Spectrometry, Bacterial culture
|
|---|
| Turn-around Time | |
|---|
| Interferences/Limitations | - Specimen must be a viable pure isolate for testing.
- Improper storage or shipping temperatures limit organism recovery.
|
|---|
| Common Causes for Rejection | - Mismatch(es) between patient identifiers on G-2B submission form and specimen label.
- Non-viable isolates
- Mixed culture/contamination
- Improper storage/shipping conditions
- Expired media
- Missing/incomplete/illegible submission form
|
|---|
| Additional Information | |
|---|