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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 MnemonicAcid Fast Sputum
EPIC Display NameSputum 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 - WorkgroupID 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 NameCx 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
Location Restrict List Ip
Location Restrict List Ip Record Name
Location Restrict List Include Ip
Location Restrict List Op
Location Restrict List Op Record Name
Location Restrict List Includes Op
Edp Amb Order Specific Questions Record Name
Edp Ip Order Specific Questions Record Name
Edp Ip Specimen Source
Edp Op Specimen Source
Edp Ip Specimen Type
Edp Op Specimen Type
Derived Edp Ip Buttons S
Derived Edp Ip Buttons T
Derived Edp Op Buttons S
Derived Edp Op Buttons T
Ip Orderable 1
Op Orderable 1
EPIC OP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3045300170 NH IP HOME COLLECT DATE Start Date Date Yes
3045300171 NH IP HOME COLLECT DAYS Days Custom List Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Yes
3045300173 NH IP HOME COLLECT MEDICALLY NECESSARY Medically Necessary? Yes/No Yes
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
1910000003 NH IP RULE OUT PULMONARY TB Ruling out Pulmonary TB? Yes/No Yes
EPIC Components (results)