Acid Fast Bacilli Smear

Last Modified: 2/4/2019 1:48:15 PM

Medical Necessity Documentation:  
Client Notes: Acid Fast Smear is included in an Acid Fast Culture automatically and should rarely be ordered alone.
Patient Preparation:  
Specimen Requirements: > 5.0 mL of  (Respiratory Secretions, Gastric, Specimens from Normally Sterile Sites) in sterile container 
40.0 mL Urine in sterile container
Tissue/Lymph node in sterile container
Collection Instructions:
Sputums may be collected in sputum collection device per instructions. (First AM, deep cough specimens are best). Transport at room temperature. 

Urine should be first/early AM collection

Swab specimens are not recommended.
Transport & Storage: Temperature/Stability: 2 hours Ambient
24 hours Refrigerated
4 hours Refrigerated (For Gastric Specimens)
Reference Range: No Acid Fast Bacilli Detected
Critical Ranges:  
Test Comments: Smear results are reported within 24 hours of receipt of microbiology
Methodology: Auramine/Rhodamine fluorescent stain
Clinical Significance:  
Custom Panel: No


Turn Around Time: 48 hours; 4 days (if received on Friday afternoon)
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: AFBST
EPIC Test Code: LAB2495
Send Out Test Code: Acid Fast Stain
Alternate Test Names: AFB Smear; Smear for AFB
Included Tests:  
CPT Coding: 87206, 87015

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