X624

Test CODE NAME

X624

Cystic Fibrosis (CF) Lower Respiratory Culture

Methodology: Culture
Performed: Sun-Sat
Reported: 35 days
Specimen Required: Collect: Sputum, endotracheal aspirate, bronchoalveolar lavage (BAL), bronchial brushing, transbronchial biopsy, deep pharyngeal swab - 5-10 mL sputum, 10-50 mL lavage fluid, 5 mL bronchial washing, one swab
Specimen Preparation:
Sputum: The patient should brush his/her teeth and/or rinse mouth well with water before attempting to collect the specimen, in order to reduce the possibility of contaminating the specimen with food particles, oropharyngeal secretions, etc. Instruct the patient that only a specimen brought forth by deep cough should be expectorated into the container. After the specimen has been collected, it should be examined to make sure it contains a sufficient quantity (at least 1 mL) of thick mucus (not saliva). Only the sterile screw-cap container should be submitted to the laboratory. 
Deep pharyngeal swab (cough or gagged throat specimen): Place a plastic shaft polyester- or rayon-tipped swab in the back of the throat and induce coughing. Remove the swab when coughed secretions have been collected on the swab. Place swab in plastic transport sleeve containing preservative medium and submit to the laboratory. Note: This technique is used in those CF patients who are unable to produce sputum.
Patient Preparation: For sputum collection, the patient should be instructed to remove dentures, rinse mouth, and gargle with water. Instruct the patient to cough deeply and expectorate sputum into proper container. Be sure the patient understands the difference between sputum and saliva.
Storage/Transport Temperature: Refrigerate
Causes for Rejection: Unlabeled specimen or name discrepancy between specimen and test request label; inappropriate specimen transport device; leaking specimen; specimen received after prolonged delay (usually >72 hours); expired transport 
Note: This test is approved for NY . 
Performing Lab 
LabCorp Laboratory Corporation of America
CPT Code(s): 87070