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HelpTest Code SINUSC Culture, Nasal Sinus
Additional Codes
EPIC: LAB30117
Methodology
Conventional Culture Technique
Identification and susceptibility testing will automatically be performed on appropriate pathogens at an additional charge.
Used in the detection and identification of common microorganisms that may cause sinusitis.
Performing Laboratory
St. Joseph Hospital
Specimen Requirements
Specimen collection is performed by an ENT physician. The following methods can be used to guide physicians in proper collection.
1. Rigid endoscopy
a. Provide patient with an intranasal decongestant and then a topical anesthetic.
b. Identify the middle meatus adjacent to the maxillary sinus ostium ipsilateral to the side to be aspirated.
c. Collect drainage from the middle meatus with a small swab on a wire.
2. Maxillary sinus puncture and aspiration
a. Clean the anterior nares with antiseptic solution.
b. Apply topical anesthetic.
c. Puncture the maxillary antrum and aspirate secretions with a needle and a syringe.
Specimen transport
a. Submit swabs in appropriate bacterial transport media.
b. Aspirates should be transferred to a sterile container befor submission to the laboratory. DO NOT submit syringes with needles attached.
Reference Values
No growth or normal respiratory flora
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
87070 - culture
87205 - Gram stain
87077 - identification (if appropriate)
87186 - susceptibility, each (if appropriate)