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16404: Antimicrobial Combination Testing, Synergy, 2 Drugs Print View
Specimen Source      
Organism      
A.      
MIC (1 Drug)      
MIC (Drug Combination)      
B.      
MIC (1 Drug)      
MIC (Drug Combination)      
FIC Index      
Interpretation      

PRIMARY
1 Pure Culture Agar Plate   Refrigerated - 5 Day(s)/Room Temperature - 5 Day(s)  
2 Pure Culture Agar Slant   Refrigerated - 5 Day(s)/Room Temperature - 5 Day(s)  
3 Bacterial Transport Swab   Room Temperature - 5 Day(s)/Refrigerated - 5 Day(s)  
ALTERNATE
  Swab of the Isolate   Refrigerated - 5 Day(s)/Room Temperature - 5 Day(s)  

The Identification of the isolate and the two drugs to be tested are
required. Missing information may cause testing delays
Setup Schedule
Sunday-Saturday

Reported (Analytical Time)
3 days

CPT Code
87181x4

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
Preferred Specimen:
Pure culture of previously identified bacteria submitted on agar slant, plate, or bacterial transport swab
Specimen Stability:
Room temperature: Determined by viability
Refrigerated: Determined by viability
Frozen: Unacceptable
Methodology: Antibiotic Gradient
Transport Temperature: Room temperature






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