Laboratory Fee Schedule
Procedure Number: MAB0051A
CPT: N/A
Synonym(s): |
MTB Cx, Tuberculosis, TB, M. bovis, BCG, bacillus Calmette-Guérin, PCR, AMCC, AMRC |
Requisition Form |
G-MYCO |
Test Description |
Differentiation of M. bovis and M. bovis BCG from the rest of the M. tuberculosis complex by real-time PCR. |
Pre-Approval Needed |
No |
Supplemental Information Required |
N/A |
Supplemental Form(s) |
N/A |
Performed on Specimens from (sources) |
Human |
Sample/Specimen Type for Testing |
- Clinical specimens (all types)
- Referred isolates (all types)
|
Minimum Volume/Size Required |
- Clinical specimen: 3 mL to 15 mL.
- Pure isolate liquid culture: 2.0 mL
- Solid culture: At least one, viable pure isolate
|
Storage/PreservatioTransport Mediumn Prior to Shipping |
Store refrigerated at 2–8°C (clinical specimens) or at ambient temperature (isolates) until shipment. |
Transport Medium |
- N/A for clinical specimens.
- Maintain isolates on any agar or transport medium that supports the growth of Mycobacteria spp.
|
Specimen Labeling |
- At least two patient identifiers 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 clinical specimens refrigerated at 2 – 8°C on cold packs for overnight delivery.
- Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49.
- Category B Biological Substance, UN3373 shipping requirements apply to clinical specimens.
- Ship isolates at ambient temperature.
- Category A Biological Substance, UN 2814 shipping requirements apply to isolates.
- 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 for isolates.
|
Method |
Real-time PCR |
Turn-around Time |
One week after MTB complex culture is suspected of M. bovis or M. bovis BCG. |
Interferences/Limitations |
- Growth prohibitive.
- If culture growth is limited, testing will be repeated when adequate growth available.
|
Common Causes for Rejection |
- Missing identifiers on specimen or submission form
- Mismatch between specimen and/or submission form identifiers
|
Additional Information |
N/A |