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2362: Ova & Parasite: Comprehensive Exam with Coccidia Evaluation Print View
Routine Ova & Parasite LM     
White Cells LM  Not detected   
Cryptosporidium parvum LM  Not detected   
Cyclospora LM  Not detected   
Isospora belli LM  Not detected   
Microsporidium LM  Not detected   

PRIMARY
1 Stool Formalin 10 (5) g   Room Temperature - 6 Month(s)  
ALTERNATE
  Stool Total-Fix   Room Temperature - 6 Month(s)  
  Urine   Refrigerated - 48 Hour(s) See COLLECTION INSTRUCTIONS./// 
  Sputum Formalin   Room Temperature - 48 Hour(s) See COLLECTION INSTRUCTIONS./// 
  Sputum (Induced)   Room Temperature - 6 Month(s)/Refrigerated - 48 Hour(s) See COLLECTION INSTRUCTIONS./// 
  Stool SAF Fixative   Room Temperature - 6 Month(s)  
  Stool PVA   Room Temperature - 6 Month(s)  

The assay which aids in the diagnosis of parasitic infections consists of four separate protocols; 1. Concentration which facilitates the recovery of protozoan cysts, coccidian cysts, helminth, eggs, and larvae. 2. Trichrome stained smears which identifies intestinal protozoa. 3. Modified Acid Fast Stain which identifies Cryptosporidium and Cyclospora. 4. Modified Trichrome Stain which identifies Microsporidia.

Interfering substances-bismuth, barium (wait 7-10 days),
antimicrobial agents (wait 2 weeks), gall bladder dye
(wait 3 weeks after procedure).

Place fresh stool in 10% formalin transport vial, as well as
PVA transport medium or single Total-Fix(R) vial, within 30
minutes of collection. Add stool to bring the liquid level to
the "fill to here" line on the vial. Mix well. Send specimen(s)
at room temperature in the same shipping container. If parasite
infestation is strongly suspected, collect at least 3 stool
specimens every other day, since a single specimen can be
negative. If Giardia is strongly suspected, please see
Giardia Antigen, EIA Stool, Test Code 8625.

Note: Urine may be submitted unpreserved for exam for
Schistosoma. Collect at mid day. Peak egg secretion occurs
between noon and 3 p.m. Do not submit first morning specimen.
In patients with hematuria, eggs may be found trapped in blood
and mucous in the terminal portion (last-voided portion) of the
specimen.

Sputum: The specimen should be a deep expectorated sputum,
preferably collected in the early morning. A 24 hour sputum
collection is also acceptable. Submit in a sterile screw-capped
container, unpreserved or in 10% formalin to increase stability.
Setup Schedule
Sunday-Saturday

Reported (Analytical Time)
3 days

CPT Codes
87177,87207x2,87209

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
Reject Criteria: Unpreserved stool; specimens barium; stool not preserved in 10% formalin or Total Fix(R), specimens other than PVA or SAF; received frozen; stool submitted in expired transport vial; preserved urine; unpreserved sputum and urine received room temperature or frozen. Transport Temperature: Stool and Sputum (preserved): Room temperature Urine and Sputum (unpreserved): Refrigerated Methodology: Microscopic Examination of Concentrate and Permanent Stained Smear






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