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5685: Aerobic Susceptibility: Gram Negative MIC Panel Urine/Non-Urine Print View
Isolate      
Ampicillin MIC MICBROTH DIL     
Ampicillin/Sulbactam MIC BROTH DIL     
Gentamicin MIC BROTH DIL     
Trimethoprim/Sulfamethoxazole MIC MICBROTH DIL     
Amikacin MIC BROTH DIL     
Cefazolin MIC BROTH DIL     
Cefoperazone MIC BROTH DIL     
Cefoxitin MIC E TEST     
Ceftriaxone MIC MICBROTH DIL     
Cefuroxime MIC MICBROTH DIL     
Ciprofloxacin MIC MICBROTH DIL     
Piperacillin/Tazobactam MIC E TEST     
Nitrofurantoin MIC BROTH DIL     

PRIMARY
1 Pure Culture Agar Slant   Room Temperature - 72 Hour(s) See COLLECTIONS INSTRUCTIONS./// 
ALTERNATE

See "Guidelines for Shipping Infectious Substances".
To prepare isolate:
1. Culture on a blood agar slant or appropriate bacteriological
media. Wrap Parafilm around the screw cap then place tube in
paper towel to prevent breakage or wrap plate and transport in
a cardboard box.
2. Place the properly labeled tube or plate into appropriate
sized container. On the outer container affix a label
"Etiologic Agent/Biomedical Material."
3. Ship specimen by overnight courier (following
courier regulations) at ambient temperature or on cold pack.
(Do not freeze.)
Setup Schedule
Sunday-Saturday

Reported (Analytical Time)
7 days

CPT Code
87186

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
CPT Code: 87186 Panel contains: Ampicillin, Ampicillin/Sulbactam, Amikacin, Cefazolin, Cefoperazone, Cefoxitin, Ceftriaxone, Cefuroxime, Ciprofloxacin, Gentamicin, Nitrofurantoin, Piperacillin and Trimethoprim/Sulfamethoxazole. If sending isolate, specify ID of organism and source of the specimen. SEND PURE CULTURE ONLY. If the isolate submitted is mixed, there will be no workup done pending clarification with the client. There will be separate charges for each organism that requires bacterial identification and sensitivities. If the isolate submitted needs identification, sensitivities will be delayed until the identification is complete.






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