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94577: Mycobacterium tuberculosis Complex and Rifampin Resistance, PCR, Sputum Print View
MTB Complex RT-PCR     
Rifampin Resistance RT-PCR     

PRIMARY
1 Sputum (Induced) 5 (2) mL   Refrigerated - 5 Day(s)  
ALTERNATE

The complete and somewhat rapid identification of all Mycobacterium tuberculosis is essential today. Tuberculosis caused by Mycobacterium (M.) tuberculosis (TB) complex organism remains a major global and public health problem with tuberculosis being cited as the leading cause of death due to a single infectious agent. Infections caused by M. tuberculosis are classically pulmonary. Standard treatment regimens for tuberculosis involve prolonged administration of multiple drugs and is usually highly effective. However, MTB-complex strains that are resistant to one or more of first line drugs require individualized treatment. Rifampin resistance is often an indication of multidrug resistance of tuberculosis (MDR TB), which is defined as resistance to at least rifampin (RIF) and isoniazid (INH). In the United States overall RIF resistance is approximately 1.8%, with approximately 90% of these strains resistant to at least RIF and INH. Active pulmonary TB is a highly infectious airborne disease. All patients in healthcare facilities with suspected TB should be maintained in respiratory isolation according to recommended infection control guidelines.

Expectorated Sputum: Instruct patient to gargle with water and cough
deeply.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Same day

CPT Code
87801

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: Specimen received in formalin and/or alcohol; 24 hour pooled sputum; samples with obvious food particles or other solid particulate; processed/concentrated sputum specimen from client

Methodology: Real-Time Polymerase Chain Reaction (RT-PCR)

Transport Temperature: Refrigerated






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