Gram-Positive Rod Isolate, Definitive Identification

Gram-positive rod identification – Culture

Laboratory Fee Schedule

Procedure #: MAA0033A

CPT: 87077 

Synonym(s):Gram positive non-spore forming rod, Listeria.
Requisition FormG-2B 
Test DescriptionIdentification of gram-positive rods from reference culture
Pre-Approval NeededN/A
Supplemental Information RequiredN/A
Supplemental Form(s)N/A
Performed on Specimens from (sources)Human
Sample/Specimen Type for TestingPure isolate
Minimum Volume/Size RequiredAt least one viable colony
Storage/Preservation Prior to ShippingMaintain isolates at room temperature or cold at 2°C to 8°C.
Transport MediumAppropriate medium that supports growth
Specimen Labeling
  • At least two patient-specific identifiers required on specimen (e.g., patient full name, date of birth, medical record number).
  • Three unique 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 according to Dangerous Goods Regulations, IATA, and/or CFR 49.
  • Category B Biological Substance, UN3373 shipping requirements apply.
  • Submitters are responsible for packaging and shipping specimens according to regulatory requirements. 
  • Additional DSHS Laboratory specimen shipping guidelines online here.
  • Ship overnight on cold packs if specimens are refrigerated.
  • Ship specimens overnight Monday–Thursday to avoid weekend deliveries. 
  • Do not ship specimens for holiday or weekend delivery. 
  • Ensure media used to isolate organisms are not expired.
MethodBacterial culture, MALDI-TOF (Mass spectrometry)
Turn-around Time2-21 days
Interferences/Limitations
  • Isolate must be viable.
  • Improper storage or shipping temperatures
  • Limit organism recovery.
Common Causes for Rejection
  • Insufficient quantity
  • Unacceptable specimen type or source
  • Improper shipping conditions
  • Expired media or collection container
  • Discrepancies between specimen label and submission form
  • Incomplete or missing submission form
Additional InformationN/A