Laboratory Fee Schedule
Procedure Number: MAB0051A
CPT: N/A
| Synonym(s): | - MTB Cx, Tuberculosis, TB, M. bovis, BCG, bacillus Calmette-Guérin, PCR, AMCC, AMRC
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| Requisition Form | |
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| Test Description | - Differentiation of M. bovis and M. bovis BCG from the rest of the M. tuberculosis complex by real-time PCR.
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| Pre-Approval Needed | |
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| Supplemental Information Required | |
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| Supplemental Form(s) | |
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| Performed on Specimens from (sources) | |
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| Sample/Specimen Type for Testing | - Clinical specimens (all types)
- Referred isolates (all types)
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| 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
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| Storage/Preservation Transport Medium Prior to Shipping | - Store refrigerated at 2–8°C (clinical specimens) or at ambient temperature (isolates) until shipment.
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| Transport Medium | - N/A for clinical specimens.
- Maintain isolates on any agar or transport medium that supports the growth of Mycobacteria spp.
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| 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.
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| 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.
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| Method | |
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| Turn-around Time | - One week after MTB complex culture is suspected of M. bovis or M. bovis BCG.
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| Interferences/Limitations | - Growth prohibitive.
- If culture growth is limited, testing will be repeated when adequate growth available.
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| Common Causes for Rejection | - Missing identifiers on specimen or submission form
- Mismatch between specimen and/or submission form identifiers
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| Additional Information | |
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