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681: Ova and Parasites, Concentrate and Permanent Smear Print View
Specimen Source:      
Concentrate Result      
Trichrome Result      

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

Diseases caused by human parasites remain on a worldwide basis among the principle causes of morbidity and mortality. Correct diagnosis of intestinal parasitic infection depends on proper collection, transport, detection and identification of parasites in stool specimens. Symptoms range from malaise to death. Treatment is dependent upon examining multiple stool specimens due to the erratic shed rates of some parasites.

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

Instructions:
Note: tissue samples should be sent to pathology

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
87177,87209

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
Other Acceptable Specimens: Stool in Sodium Acetate-Acetic Acid Formalin (SAF), ECOFIX(R) or Parapak SVT transport vial; 25 mL urine in a sterile screw-cap container; 10 mL sputum or BAL in a sterile screw-cap container or with 10% formalin Reject Criteria: Unpreserved stool; Specimens containing barium; Stool preserved in medium other than parasitology fixative; Received frozen; Stool submitted in expired transport vial; Preserved urine; Unpreserved sputum or urine received roomed temperature or frozen; Liver abscess or aspirates; Transport Temperature: Stool, Sputum, BAL (preserved): Room temperature Urine, Sputum, BAL (unpreserved): Refrigerated Methodology: Microscopic Examination of Concentrate and Permanent Stained Smear






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