Test Code AGSPUT Culture, Sputum
Specimen Requirements
Specimen must arrive within 2 hours of collection.
Expectorated sputum should be collected in early-morning.
1. Patient should rinse or gargle with water.
2. Patient is to be instructed to cough
deeply.
Note: Sputum for routine culture is
evaluated by Gram stain for a predominance of oropharyngeal
contamination. Specimens that are determined to be primarily
oropharyngeal secretions will not be processed for routine
culture.
3. Collect specimen in a sterile, leakproof container. At least 1
mL of specimen is required for routine and fungus cultures. A
minimum of 5 mL of specimen is required for AFB culture.
Post-bronchoscopy sputum should be submitted regardless of
volume.
4. Label container with patient’s information, date and
actual time of collection, and type of specimen.
5. Forward specimen promptly.
Note: 1. Maximum storage of specimen is 24 hours refrigerated. Overnight refrigeration of specimen is not recommended since some of the fastidious organisms that can cause these infections may become non-viable (this will be noted in the report).
2. Specimens will not be processed if transport/storage requirements are exceeded.
Reference Values
Normal “respiratory” flora for routine cultures.
Day(s) Test Set Up
Monday through Sunday
CPT Coding
87015 - concentration
87070 - culture, aerobic
87077 - identification, aerobic
87102 - culture, fungus
87106 - identification, yeast
87107 - identification, mold
87116 - culture, AFB
87149 - identification, by DNA probe
87205 - Gram stain
87206 - smear (stain), AFB
87181 - per antibiotic (if appropriate)
87184 - per plate-disk method (if appropriate)
87185 - beta-lactamase (if appropriate)
87186 - per panel-microdilution (if appropriate)
Performing Laboratory
Huntsville Hospital Laboratory
LOINC Coding
Test Name | LOINC Code |
---|---|
Culture, Sputum |
622-1 |
Specimen | 66746-9 |
Gram Stain | 664-3 |