2018-2019 Specimen Collection & Transport Guide Visit our online version at QuestDiagnostics.com/TestDirectory Return to Table of Contents DirectorySpecimen of Collection Services & Transport Guide 2018-2019 QuestDiagnostics.com The CPT® codes provided in this document 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. Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered and unregistered trademarks are the property of Quest Diagnostics. All third party marks—® and ™—are the property of their respective owners. © 2018 Quest Diagnostics Incorporated. All rights reserved. Table of Contents Directory of Services 5 Bacterial Identification (Aerobic) and Susceptibility Bacterial Idntifcaiton (Aerobic) Only Where to Find Information ................................................................7 Susceptibility Panel, Aerobic Bacterium About Us: The World’s Leading Laboratory .....................................7 Fungal Isolate Identification Test Additions After Submission of Specimen ..................................7 Mycobacterium Identification ..........................................................48 Reporting ..........................................................................................7 Bacterial Vaginosis & Vaginitis .......................................................48 Confidentiality ...................................................................................8 Blood Cultures for Bacteria, Fungi and Mycobacteria ....................48 TableSupplies of ............................................................................................8 Contents Body Fluid (usually sterile) and Bone Marrow Cultures .................50 Test Requisitions ...............................................................................9 Body Fluids and Tissues Virus Culture...........................................51 Testing Policies .................................................................................9 Bone Marrow Aspirates for Bacteria ...............................................52 DirectoryTest Requisition of Services Information 115 BacterialBone Marrow Identification Aspirates (Aerobic) for Mycobacteria and Susceptibility or Fungi ........................54 BacterialBone Marrow Idntifcaiton Core Specimens (Aerobic) Only for Bacteria ...................................55 SampleWhere Test to FindRequisition-Physician Information ................................................................7 ..................................................12 SusceptibilityBone Marrow Panel,Core Specimens Aerobic Bacterium for Mycobacteria or Fungi .............56 TestAbout Requisition Us: The Instructions-Physician World’s Leading Laboratory ..........................................13 .....................................7 FungalBordetella Isolate pertussis/parapertussis Identification DNA, Qualitative, SampleTest AdditionsTest Requisition-Hospital After Submission .....................................................14of Specimen ..................................7 MycobacteriumReal-Time, Time Identification PCR .....................................................................56 ..........................................................48 TestReporting Requisition ..........................................................................................7 Instructions-Hospital .............................................15 BacterialBordetella Vaginosis pertussis/parapertussis & Vaginitis .......................................................48 Smear by DFA .........................57 Confidentiality ...................................................................................8 Bordetella pertussis/parapertussis Culture .....................................58 Specimen Collection and Handling 17 Blood Cultures for Bacteria, Fungi and Mycobacteria ....................48 Supplies ............................................................................................8 BodyBV Smear Fluid Nugent(usually Score sterile) ................................................................58 and Bone Marrow Cultures .................50 PatientTest PreparationRequisitions ...............................................................................9and Specimen Transport .................................19 BodyCampylobacter Fluids and Antigen Tissues ...................................................................59 Virus Culture...........................................51 HealthTesting andPolicies Safety .................................................................................9 Precautions .......................................................19 BoneCatheter Marrow Tips Aspirates– Intravascular, for Bacteria Semi-Quantitative ...............................................52 Culture ...............59 Supplies ..........................................................................................19 BoneCerebrospinal Marrow AspiratesFluid (CSF) for CultureMycobacteria .................................................60 or Fungi ........................54 Test Requisition Information 11 Chlamydia and Gonorrhoeae Nucleic Acid by Transcription Patient Preparation .........................................................................19 Bone Marrow Core Specimens for Bacteria ...................................55® SampleFasting Test Requisition-Physician Requirements ...............................................................19 BoneMedicated Marrow Amplification Core Specimens (TMA), for(Gen-Probe Mycobacteria or Fungi .............56 ..................................................12 Aptima® Combo 2) ..........................................................................61 Test RequisitionProvocation Instructions-Physician Tests ......................................................................19 ..........................................13 Bordetella pertussis/parapertussis DNA, Qualitative, SampleProper Test Identification Requisition-Hospital of Specimens .................................................19 Real-Time,Chlamydia trachomatisTime PCR .....................................................................56 Culture .......................................................62 .....................................................14 Clostridium difficile Culture with Reflex to PCR ..............................63 Test RequisitionSpecimen LabelsInstructions-Hospital .......................................................................19 .............................................15 Bordetella pertussis/parapertussis Smear by DFA .........................57 Test Requisition .........................................................................20 BordetellaClostridium pertussis/parapertussis difficile Toxins A &B/GDH Culture with .....................................58Reflex to PCR .............64 SpecimenPackaging Collection .......................................................................................21 and Handling 17 BVClostridium Smear Nugent difficile ScoreToxin ................................................................58B, QL, Real Time PCR ...........................64 Cryptococcal Antigen Screen with Reflex to Titer PatientHolding Preparation and Securing and SpecimensSpecimen ...................................................21Transport .................................19 Campylobacter Antigen ...................................................................59 Frozen Specimens ....................................................................21 Catheter(Latex and Tips Immunoassay – Intravascular, Tests) Semi-Quantitative .....................................................65 Culture ...............59 Health and Safety Precautions .......................................................19 Cryptosporidium Antigen (in Stool) DFA .........................................65 SuppliesNeedles, ..........................................................................................19 Sharps or Medical Waste ...........................................21 Cerebrospinal Fluid (CSF) Culture .................................................60 Blood, Urine and Stool .......................................................................22 ChlamydiaCyclospora and and Gonorrhoeae Isospora Examination Nucleic Acid and byMicrosporidum Transcription Patient Preparation .........................................................................19 Spore Detection ..............................................................................66® Blood, Serum or Plasma .................................................................22 Medicated Amplification (TMA), (Gen-Probe Fasting Requirements ...............................................................19 Cytomegalovirus® (CMV) Culture, Rapid ..........................................67 ProvocationPhlebotomy ...............................................................................22Tests ......................................................................19 Aptima Combo 2) ..........................................................................61 Serum, Plasma or Whole Blood Collection ...............................22 ChlamydiaEar, External, trachomatis Culture ......................................................................68 Culture 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