Sputum Mycobacterial (AFB) Smear and Culture
Test Catalog Information
Test Catalog Synonyms | |
EPIC Synonyms |
TB Culture - Acid Fast - Sputum w/Smear Mycobacterium ACID FAST BACILLUS Acid-Fast NTM Fluorochrome Kinyoun Tuberculosis |
Cerner Primary Mnemonic | Acid Fast Sputum |
EPIC Display Name | Sputum Mycobacterial (AFB) Smear and Culture |
Allscripts (AEHR) Order Name | Culture - Acid Fast - Sputum w/Smear |
Sunrise Clinical Manager (SCM) Order Name | Culture - Acid Fast - Sputum w/Smear |
EPIC Inpatient Orderable | Yes |
EPIC Outpatient Orderable | Yes |
Cerner Results | |
Clinical Info | |
Specimen Type |
Sputum |
Container |
AFB Coll Kit |
Collection Instructions |
For diagnostic purposes, all persons suspected of having TB disease at any site should have sputum collected for TB culture. At least three consecutive sputum specimens are needed, each collected in 8- to 24-hour intervals, with at least one being an early morning specimen. 1. Collect 5-8 mL (minimum volume: 3 mL) of a first-morning “deep cough” sputum specimen into a Sputum Collection Kit. 2. Instruct patient to brush his/her teeth and/or rinse mouth well with water to minimize contaminating specimen with food particles, mouthwash, or oral drugs. 3. Have patient remove dentures. 4. Instruct patient to take a deep breath, hold it momentarily, then cough deeply and vigorously into Sputum Collection Kit. 5. Remove the funnel and discard. Using the cap provided, securly close the 50 ml conical tube. 5. Label the 50 ml conical tube with patient’s name (first and last), date and actual time of collection, and type of specimen. 6. Send specimen refrigerated. 7. Maintain sterility and forward promptly. Note: Specimen source is required on request form for processing. *Rejection Criteria: Quantity not sufficient, sputum not received in sputum collection kit, specimen leaking, unlabeled or mislabeled specimen, specimen without a minimum of 2 patient identifiers, specimen received after prolonged delay (more than 7 days), specimen in fixative. |
Transport Instructions |
Up to 3 Days at 2 - 8 C (Refrigerated) |
Specimen Stability |
Up to 3 days at 2-8C (refrigerated) |
Methodology |
Microbiology Culture |
Days Performed |
Monday through Sunday |
Performing Laboratory |
Northwell Health Laboratories If culture is positive, additional charge(s)/CPT code(s) may apply for identification and/or antibiotic susceptibilities performed when appropriate. |
CPT |
87116 - culture 87206 - smear |
PDM |
6201256 |
Desired Epic Build Sputum Mycobacterial (AFB) Smear and Culture
Cerner Primary Mnemonic: | Acid Fast Sputum |
PDM | 6201256 |
Informatics - Workgroup | ID Micro |
Synonyms * | TB Culture - Acid Fast - Sputum w/Smear Mycobacterium ACID FAST BACILLUS Acid-Fast NTM Fluorochrome Kinyoun Tuberculosis |
Display Name * | Sputum Mycobacterial (AFB) Smear and Culture |
Order Entry Specimen Sources * |
Expectorated Sputum
Induced Sputum
Trachea
|
Order Entry Specimen Types |
Respiratory
|
Specimen Navigator Specimen Types | |
Specimen Navigator Specimen Sources | |
Specimen Navigator Short Name | Cx AFB Sputum |
Ordering info (EPIC SmartText) | |
IP Orderable | Yes |
OP Orderable | Yes |
AOEs * | |
AP AOEs | |
Special History | No |
Build Comments | |
Filter * | |
Procedure Category Change | |
Cerner Results |
Current Actual EPIC Build as of 11/22/2024
Procedure Id | 64781 | ||||||||||||||||||||||||
Pdm | 6201256 | ||||||||||||||||||||||||
Order Display Name | Sputum Mycobacterial (AFB) Smear and Culture | ||||||||||||||||||||||||
Procedure Name | AFB CULTURE | ||||||||||||||||||||||||
Procedure Master Number | LAB877 | ||||||||||||||||||||||||
Short Procedure Name | AFB CULTURE | ||||||||||||||||||||||||
Category Code | 4.0 | ||||||||||||||||||||||||
Category Code Record Name | LAB MICROBIOLOGY - GENERAL ORDERABLES | ||||||||||||||||||||||||
Synonyms | TB CULTURE - ACID FAST - SPUTUM W/SMEAR MYCOBACTERIUM ACID FAST BACILLUS ACID-FAST NTM FLUOROCHROME KINYOUN TUBERCULOSIS | ||||||||||||||||||||||||
Clinically Active | Yes | ||||||||||||||||||||||||
Orderable | Yes | ||||||||||||||||||||||||
Performable | Yes | ||||||||||||||||||||||||
Filter Genomics | |||||||||||||||||||||||||
Reference Link Url | https://labs.northwell.edu/epic/test/64781 | ||||||||||||||||||||||||
Ordering Instructions | |||||||||||||||||||||||||
Default Specimen Type | Respiratory | ||||||||||||||||||||||||
Specimen Type Pick List | Respiratory Aspirate Body Fluid | ||||||||||||||||||||||||
Specimen Type List | Respiratory | ||||||||||||||||||||||||
Op Specimen Type List | |||||||||||||||||||||||||
Specimen Source Pick List | Expectorated Sputum Induced Sputum Trachea Sputum | ||||||||||||||||||||||||
Specimen Source Default - Male | Induced Sputum | ||||||||||||||||||||||||
Specimen Source Default - Female | Induced Sputum | ||||||||||||||||||||||||
Specimen Source List | Expectorated Sputum Induced Sputum Trachea | ||||||||||||||||||||||||
Op Specimen Source List | |||||||||||||||||||||||||
Ip Lab Test Components For Report | |||||||||||||||||||||||||
Op Lab Test Components For Report | |||||||||||||||||||||||||
Order Questions | ["3045300170", "3045300171", "3045300173"] | ||||||||||||||||||||||||
Order Questions Record Name | NH IP HOME COLLECT DATE NH IP HOME COLLECT DAYS NH IP HOME COLLECT MEDICALLY NECESSARY | ||||||||||||||||||||||||
Inpatient Order Questions | ["1910000003"] | ||||||||||||||||||||||||
Inpatient Order Questions Record Name | NH IP RULE OUT PULMONARY TB | ||||||||||||||||||||||||
Order Specific Question Override | Yes | ||||||||||||||||||||||||
Inpatient Question Override | |||||||||||||||||||||||||
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Ip Orderable | 1 | ||||||||||||||||||||||||
Op Orderable | 1 | ||||||||||||||||||||||||
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EPIC IP AOEs
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EPIC Components (results) |