Gold standard test for diagnosing the presence of mycobacteria organisms.
Stain/Culture/Identification/Susceptibility/Polymerase Chain Reaction
AFB Stain: 24 hours; final negative after 8 weeks.
Positive cultures are reported as soon as detected
New York DOH Approval Status
Recommended collection: Three sputum specimens at 8-24 hour intervals (24 hours when possible) and at least one first-morning specimen. An individual order must be submitted for each specimen.
Respiratory specimens. Also acceptable: Body fluid, CSF, gastric aspirate, tissue, or urine.
Place each specimen into 50 ml sterile specimen transport tube (ARUP Supply #29582) and place in an individually sealed bag.
Respiratory Specimens: Transfer (for each collection) 5-10 mL to a sterile container. (Min: 1 mL)
Body Fluids: Transfer 5 mL to a sterile container. (Min: 1 mL culture only)
CSF: Transfer 5 mL to a sterile container. (Min: 1 mL culture only. Min: 5 mL culture and stain)
Gastric Aspirates: Must be neutralized (pH7) with sodium carbonate if transport is delayed for more than four hours. Transfer 5-10 mL to a sterile container. (Min: 1 mL)
Tissue: Transfer to a sterile container. (Min: Visible, for small tissue that cannot be ground, acid fast stain will not be performed.)
Urine: Transfer at least 40 mL to a sterile container. (Min: 10 mL culture only. Min: 40 mL culture and stain)
Dry material or material collected and transported on a swab.
Acid Fast Stain: Stool, blood, bone marrow, grossly bloody specimens.
Specimen source required.
Ambient: 24 hours; Refrigerated: 1 week; Frozen: 2 weeks
Effective May 20, 2013
Culture negative for acid fast bacilli.
Identification performed on positives.
Susceptibility performed on all initial isolates of M. tuberculosis complex.
Susceptibility performed on significant isolates of Mycobacterium other than M. tuberculosis complex isolates.
Respiratory specimens, body fluids, CSF, gastric aspirates that are under 5 mL and Urines under 40 mL will receive a volume suboptimal disclaimer in the report.
Positive cultures are reported as soon as detected. AFB stain, AFB identification of positives, and susceptibility tests are billed separately from culture. Identification of positive culture is billed by matrix-assisted laser desorption ionization (MALDI) and/or sequencing tests performed. Mycobacterium tuberculosis Complex Detection and Rifampin Resistance by PCR (ARUP test code 2010775) is available for respiratory, CSF, or body fluid specimens.
The laboratory should be notified when the presence of M. genavense is suspected as this organism will not grow on media routinely used for Mycobacterium isolation.
Susceptibility will be performed on organisms isolated from a sterile source and isolates of Mycobacterium tuberculosis complex, M. chelonae, M. abscesses, M. fortuitum complex, M. immunogenum, M. mucogenicum. Susceptibility testing will be performed by request only on M. kansasii and M. marinum. Susceptibility testing of M. gordonae is inappropriate.
For AFB susceptibility information, refer to Antimicrobial Susceptibility - AFB Mycobacteria (ARUP test code 0060217).
For AFB culture on blood refer to Culture, Acid-Fast Bacillus, Blood (ARUP test code 0060060).
87116; CPT codes for identification and susceptibility vary based on method.
|Component Test Code*||Component Chart Name||LOINC|
|0060152||Culture, Acid Fast Bacilli||543-9|
- Acid Fast Stain
- Acid-fast (Mycobacteria) Smear and Culture With Reflex to Identification and Susceptibility Testing
- AFS, Auramine-rhodamine stain
- AO stain
- AR stain
- Auramin-rhodamine stain
- Culture (AFB Culture (Includes AFB Stain 0060151))
- MTB Culture (AFB Culture (Includes AFB Stain 0060151))
- Mycobacteria Culture (AFB Culture (Includes AFB Stain 0060151))
- Mycobacterium species culture
- TB Culture (AFB Culture (Includes AFB Stain 0060151))