Last Modified:
10/25/2021 1:45:37 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
Perineum & Rectal Collections: Liquid Amies Aerobic Culture Swab
Urine Collection: 1 Urine Grey Top Tube (Filled to Minimum line)
Collection Instructions:
Source Examples for this test are: Perineum, Rectal, Urine
Current antibiotic therapy, collection site and/or source all must be written on the test requisition
Perineum & Rectal Collections
1. Remove cap/swabs from package
2. Swab sample area
3. Return cap/swabs to tube
4. Push cap to bring swab into contact with moistened pledget
Urine Collection
Order must include how the specimen was collected; CCMS, Cysto Collection, First Morning, Indwelling Foley, Mini Cath, Pediatric Bag, Random, Straight Cath, Supra Pubic
Preferred specimen is Clean Catch Midstream (CCMS)
For CCMS Collection instructions see Addendum D
For CCMS Spanish patient collection instruction sheet see Addendum D
For CCMS Burmese patient collection instruction sheet see Addendum D
For CCMS Arabic patient collection instruction sheet see Addendum D
Transport & Storage: Temperature/Stability:
Swab - 24 hours Ambient
Uring Grey Top - 48 hours Ambient
Reference Range:
No VRE detected
Critical Ranges:
Test Comments:
Methodology:
Manual
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
2 to 3 days
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
CXVRE
EPIC Test Code:
LAB238
Alternate Test Names:
Vancomycin Resistant Enterococcus
Included Tests:
CPT Coding:
87081
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