Texas Department of State Health Services - Microbiology Lab Tests

Microbiology
Mumps (Culture - Isolation)
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Test Includes: Cell culture
Reporting
Results Available: 2-14 days	Contact #s: 512-458-7594
Reference
Method: Cell Culture
Turnaround Time: 2-14 days	Reference Range: No virus isolated
Limitations:	Interpretation: A result of “No virus isolated” does not necessarily mean absence of a viral agent. The success of virus isolation depends a great deal on the submission of the proper specimen, collected at the right time, adequately maintained, and shipped with the least possible delay.
Specimen Requirements
Specimen Collection: Specimens should be collected at an appropriate anatomic site and at the proper time after infection because viruses are generally shed for only a short period of time. Refer to Specimen Collection by Type table for additional instructions.	Sample Type: See preferred specimen.
Volume/Amount Required: 2-5 mL of CSF, 10-20 mL of urine, or saliva collected with swab in 2-3 mL of viral transport media.	Preferred Specimen: CSF; Urine; Saliva
Collection/Preservation: Viral transport media.	Storage Instructions: Arriving < 48 hours after collection, store and send at 2-8° C. Arriving > 48 hours after collection, store and send at -70° C (dry ice).
Causes for Rejection: Specimens submitted on preservative such as formalin.	Sample Container: Sterile container
Sample Test Kit:	Availability: Monday - Friday
Diagnostic Information: Specimens are inoculated onto a variety of cell cultures. If characteristic CPE or hemadsorption is observed, confirmation of identification will be performed.
Specimen Submission
Required Request Form: G-2A	Specimen Handling:
Transport Temperature: Arriving <48 hours: 2-8 °C (refrigerated) Arriving >48 hours: ship on dry ice	Shipping Requirements: Ship specimens in compliance with governmental regulations.
Billing
CPT Code: 87252	Fees:

Microbiology
Mumps (Culture - Identification)
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Test Includes: Immunofluorescence
Reporting
Results Available: 2-14 days	Contact #s:512-458-7594
Reference
Method: Immunofluorescence
Turnaround Time: 2-14 days	Reference Range: By report
Limitations:	Interpretation:
Specimen Requirements
Specimen Collection:	Sample Type:
Volume/Amount Required: If transporting on dry ice, send 1-2 mLs.	Preferred Specimen: Cell culture isolate with CPE.
Collection/Preservation:	Storage Instructions: If shipment of isolate will be delayed, store at -70° C.
Causes for Rejection:	Sample Container: Sterile cryovial.
Sample Test Kit:	Availability: Monday - Friday
Diagnostic Information: Identification based on immunofluorescence test using mumps-specific monoclonal antibody.
Specimen Submission
Required Request Form: G-2A	Specimen Handling:
Transport Temperature: Frozen isolate: on dry ice	Shipping Requirements: Ship specimens in compliance with governmental regulations.
Billing
CPT Code: 87253	Fees:

Microbiology
Mumps (Serological – Enzyme Immunoassay for IgG)
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Test Includes:
Reporting
Results Available:	Contact #s:
Reference
Method: EIA
Turnaround Time: 5-7 days	Reference Range: Nonreactive
Limitations: May not detect a recent immunization or infection, or immune status in a person with a severely compromised immune system.	Interpretation: Nonreactive indicates that the patient does not have detectable antibody to the infectious agent. Reactive indicates that the patient has detectable antibody to the infectious agent, and depending on the clinical picture, may have a current or past infection.
Specimen Requirements
Specimen Collection: Venipuncture	Sample Type:
Volume/Amount Required: 2 mL Serum	Preferred Specimen: Single Serum; Paired Sera
Collection/Preservation: Samples that will be delivered to the laboratory within 8 hours of collection may be transported at room temperature in the original blood collection tube. If the samples are going to be shipped and will be delivered to the laboratory within 48 hours of collection, sera must be separated from the blood and shipped on cold packs, between 2° and 8°C. If the serum samples will not be delivered to the laboratory within 48 hours of collection at these temperatures, then the samples must be frozen at -20°C or lower and shipped on dry ice.	Storage Instructions: Separated serum may be held at 2-8°C, or frozen at -20°C.
Causes for Rejection: Discrepancy between name on tube and name on form, insufficient quantity of serum for testing, specimens received with extended transit time, or received at incorrect temperature.	Sample Container: Red top or tiger top tube
Sample Test Kit:	Availability: Test is performed once per week
Diagnostic Information: Acute and convalescent serum specimens are to be collected 14 days apart. A significant EIA antibody rise is evidence of current or previous infection. Test is performed once per week.
Specimen Submission
Required Request Form: G-2A	Specimen Handling: Use Universal Precautions
Transport Temperature: Cold (2-8º C) on ice packs if received within 48 hours from time of collection. Frozen (≤-20°) on dry ice if received more than 48 hours from time of collection.	Shipping Requirements: Triple contain, separated serum may be shipped on cold packs (2-8°C), or frozen (-20°C) and mailed on dry ice.
Billing
CPT Code: 86735	Fees:

Microbiology
Mumps (Serological –Immunofluorescence assay for IgM)
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Test Includes:
Reporting
Results Available:	Contact #s:
Reference
Method: EIA
Turnaround Time: 3-5 days	Reference Range: <1:10 (Nonreactive)
Limitations: May not detect a recent infection, or infection in a person with a severely compromised immune system.	Interpretation: Nonreactive indicates that the patient does not have detectable antibody to the infectious agent. Reactive indicates that the patient has detectable antibody to the infectious agent, and depending on the clinical picture, may have a current or past infection.
Specimen Requirements
Specimen Collection: Venipuncture	Sample Type:
Volume/Amount Required: 2 mL Serum	Preferred Specimen: Single Serum; Paired Sera
Collection/Preservation: Samples that will be delivered to the laboratory within 8 hours of collection may be transported at room temperature in the original blood collection tube. If the samples are going to be shipped and will be delivered to the laboratory within 48 hours of collection, sera must be separated from the blood and shipped on cold packs, between 2° and 8°C. If the serum samples will not be delivered to the laboratory within 48 hours of collection at these temperatures, then the samples must be frozen at -20°C or lower and shipped on dry ice. * Testing must be completed within one week of the date of collection.	Storage Instructions: Separated serum may be held at 2-8°C, or frozen at -20°C.
Causes for Rejection: Discrepancy between name on tube and name on form, insufficient quantity of serum for testing	Sample Container: Red top or tiger top tube
Sample Test Kit:	Availability: Test is performed twice per week.
Diagnostic Information: The IFA for the serodiagnosis of mumps measures IgM antibodies specific for mumps virus. An IgM titer of 1:10 or greater is suggestive of recent or current mumps virus infection. Test is performed twice per week.
Specimen Submission
Required Request Form: G-2A	Specimen Handling: Use Universal Precautions
Transport Temperature:Cold (2-8º C) on ice packs if received within 48 hours from time of collection. Frozen (=-20°) on dry ice if received more than 48 hours from time of collection.	Shipping Requirements: Triple contain, separated serum may be shipped on cold packs (2-8°C), or frozen (-20°C) and mailed on dry ice.
Billing
CPT Code: 86735	Fees:

Microbiology
Mycobacteriosis (Culture - Isolation)
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Test Includes: Isolation of mycobacteria and identification to species level.
Reporting
Results Available: Positive cultures 14-21 days or earlier; Negative cultures 43 days	Contact #s: 512-458-7586 or 512-458-7318 ext 2687
Reference
Method: Primary identification test is mycolic acid analysis by high performance liquid chromatography
Turnaround Time: Negatives held for six weeks	Reference Range: Negative
Limitations: Delay in transport of specimen could compromise isolation of organism.	Interpretation:
Specimen Requirements
Specimen Collection:	Sample Type: Clinical Specimen
Volume/Amount Required: 3 mL to 15 mL	Preferred Specimen: Sputum; Tissue; Exudate; Urine; Stool; Blood; Body Fluids
Collection/Preservation: No preservative	Storage Instructions: Transport specimen as soon as possible. If transport is delayed over one hour, refrigerate specimen unless blood.
Causes for Rejection: Specimens received frozen, in formalin, or in culture medium will be rejected. Swabs are discouraged unless the only specimen available; submit swabs in 5 mL sterile saline. Gastric specimens must be neutralized prior to transport. Refrigerated blood specimens will be rejected.	Sample Container: Triple contained. Sterile, leak-proof, 50 mL conical tube preferred for primary container. Add up to 10 mL sterile saline to tissue if needed to maintain moisture during transport. If blood, must collect in Yellow-top vacutainer with SPS.
Sample Test Kit:	Availability: Tested 5/days: Monday-Friday
Diagnostic Information: Primary diagnostic specimens and isolates go to TDSHS Laboratory in Austin. Direct HPLC (presumptive identification only) performed on positive AFB smear initial diagnostic specimens. Nucleic acid amplification testing for M. tuberculosis complex may be performed on positive AFB smear initial pulmonary specimens if Direct HPLC testing is inconclusive. For more information telephone 512-458-7342
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ambient	Shipping Requirements: Triple-contained and packaged to meet requirements of DOT, USPS, PHS, and IATA for shipping of clinical specimens.
Billing
CPT Code: 87116	Fees:

Microbiology
Mycobacteriosis (Culture - Identification)
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Test Includes: Identification of isolate by mycolic acid analysis; biochemical testing and/or Accuprobe culture confirmation test performed as adjunct tests if necessary
Reporting
Results Available: 2-25 days	Contact #s: 512-458-7586
Reference
Method: Primary identification test is mycolic acid analysis by high performance liquid chromatography.
Turnaround Time: 2-25 days M. tuberculosis complex reports are telephoned to the submitter on previously undiagnosed patients.	Reference Range: By report
Limitations:	Interpretation:
Specimen Requirements
Specimen Collection:	Sample Type:
Volume/Amount Required:	Preferred Specimen: Pure Culture
Collection/Preservation: No preservative.	Storage Instructions:
Causes for Rejection:	Sample Container: Triple-contained
Sample Test Kit:	Availability:
Diagnostic Information: Pure culture isolates submitted to this Laboratory for definitive identification and drug susceptibilities. Molecular typing performed at regional center upon request. Definitive identification performed on positive isolates by HPLC or a combination of HPLC and biochemical testing or HPLC and genetic probe confirmation. For more information telephone 512-458-7342
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ambient	Shipping Requirements: Triple-contained and packaged to meet rigorous performance tests as outlined in the DOT, USPS, PHS, and IATA regulations for shipping of infectious substances.
Billing
CPT Code: 87118	Fees:

Microbiology
Mycobacteriosis (Culture – Susceptibility, Primary Drug Panel)
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Test Includes: Drug Susceptibility Testing of Mycobacterium by Indirect Drug Susceptibility Test
Reporting
Results Available: 10 days	Contact #s: 512-458-7586
Reference
Method: BACTEC indirect drug susceptibility test system for M. tuberculosis complex. Agar proportion indirect drug susceptibility test system for M. kansasii
Turnaround Time: 10-28 days (28 days for confirmation of resistance). Reports of drug resistance are telephoned to the submitter.	Reference Range: Susceptible
Limitations: Test can only be performed on pure cultures of mycobacteria.	Interpretation: Report states isolate is either susceptible or resistant to a specific drug at critical concentrations recommended by NCCLS.
Specimen Requirements
Specimen Collection:	Sample Type:
Volume/Amount Required:	Preferred Specimen: Pure Culture or Isolate
Collection/Preservation: No preservative.	Storage Instructions:
Causes for Rejection:	Sample Container: Triple-contained.
Sample Test Kit:	Availability: Test is set up 5 days/week: Monday – Friday. Test is run 7 days/week.
Diagnostic Information: Pure culture isolates of M. tuberculosis complex or M. kansasii submitted to this Laboratory for drug susceptibilities. Isolates submitted for drug susceptibilities will be identified by this Laboratory. No fee will be charged for the identification test unless the AFB ID test is requested on form G-2B. Primary Panel for M. tuberculosis complex consists of Isoniazid, Ethambutol, or Rifampin testing by BACTEC susceptibility testing. Resistance to any of these drugs is confirmed by agar proportion method. If resistance to any of these drugs is detected, the Secondary Susceptibility Panel is performed. Primary Panel for M. kansasii consists of Rifampin testing by agar proportion method. For drug susceptibility testing of other Mycobacterium species, please telephone 512-458-7342. Pure cultures of other Mycobacterium species may be forwarded by TDSHS laboratory to other reference laboratories for susceptibility testing. A handling fee may be charged. Testing at other reference laboratories is subject to fees charged by those laboratories.
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ambient	Shipping Requirements: Triple-contained and packaged to meet rigorous performance tests as outlined in the DOT, USPS, PHS, and IATA regulations for shipping of infectious substances.
Billing
CPT Code: 87188	Fees:

Microbiology
Mycobacteriosis (Culture – Susceptibility, Secondary Drug Panel)
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Test Includes: Drug Susceptibility Testing of Mycobacterium by Indirect Drug Susceptibility Test
Reporting
Results Available: 10-28 days	Contact #s: 512-458-7586
Reference
Method: BACTEC indirect drug susceptibility test system for M. tuberculosis complex. Agar proportion indirect drug susceptibility test system for confirmation of drug resistance.
Turnaround Time: 10-28 days. Reports of drug resistance are telephoned to the submitter.	Reference Range: Susceptible
Limitations: Testing can only be performed on pure cultures of Mycobacterium tuberculosis complex.	Interpretation: Report states isolate is either susceptible or resistant to a specific drug at critical concentrations recommended by NCCLS.
Specimen Requirements
Specimen Collection:	Sample Type:
Volume/Amount Required:	Preferred Specimen: Pure Culture
Collection/Preservation: No preservative.	Storage Instructions:
Causes for Rejection:	Sample Container: Triple-contained
Sample Test Kit:	Availability: Test is set up 5 days/week: Monday- Friday. Test is run 7 days/week.
Diagnostic Information: Pure culture isolates of M. tuberculosis complex submitted or isolated at this Laboratory for drug susceptibilities. Isolates submitted for drug susceptibilities will be identified by this Laboratory. No fee will be charged for the identification test unless the AFB ID test is requested on form G-2B. Secondary Panel for M. tuberculosis complex consists of Streptomycin, Ethionamide, Kanamycin, Pyrazinamide, and Ofloxacin by BACTEC susceptibility testing. Resistance to any of these drugs is confirmed by the agar proportion method. Capreomycin is available by agar proportion method only. For drug susceptibility testing of other Mycobacterium species, please telephone 512-458-7342. Pure cultures of other Mycobacterium species may be forwarded by TDSHS laboratory to other reference laboratories for susceptibility testing. A handling fee may be charged. Testing at other reference laboratories is subject to fees charge by those laboratories.
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ambient	Shipping Requirements: Triple-contained and packaged to meet rigorous performance tests as outlined in the DOT, USPS, PHS, and IATA regulations for shipping of infectious substances.
Billing
CPT Code: 87190	Fees:

Microbiology
Mycobacteriosis (Culture – Susceptibility, Pyrazinamide Only)
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Test Includes: Drug susceptibility testing of Mycobacterium tuberculosis complex to pyrazinamide.
Reporting
Results Available: 7-28 days	Contact #s: 512-458-7586
Reference
Method: BACTEC indirect drug susceptibility test system
Turnaround Time: 7-28 days Reports of drug resistance are telephoned to the submitter.	Reference Range: By report
Limitations: Test can only be performed on pure cultures of M. tuberculosis complex	Interpretation: Report states that the isolate is either susceptible or resistant to pyrazinamide at critical concentration recommended by NCCLS.
Specimen Requirements
Specimen Collection:	Sample Type:
Volume/Amount Required:	Preferred Specimen: Pure Culture
Collection/Preservation: No preservative.	Storage Instructions:
Causes for Rejection:	Sample Container: Triple-contained.
Sample Test Kit:	Availability: Test is set up 5 days/week: Monday-Friday. Test is run 7 days/week.
Diagnostic Information: Pure culture isolates of M. tuberculosis complex submitted or isolated at this Laboratory for drug susceptibilities. Isolates submitted for drug susceptibilities will be identified by this Laboratory. No fee will be charged for the identification test unless the AFB ID test is requested on form G-2B. Pyrazinamide testing is performed by BACTEC susceptibility testing.
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ambient	Shipping Requirements: Triple-contained and packaged to meet rigorous performance tests as outlined in the DOT, USPS, PHS, and IATA regulations for shipping of infectious substances.
Billing
CPT Code: 87190	Fees:

Microbiology
Mycobacteriosis (Culture – Isolation - Direct M tuberculosis Genetic Probe)
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Test Includes: Nucleic Acid Amplification Testing of Clinical Specimens by MTD Test
Reporting
Results Available: 2-5 days	Contact #s: 512-458-7586
Reference
Method: Gen-Probe MTD Test; test amplifies and detects ribosomal RNA of M. tuberculosis complex
Turnaround Time: 2-5 days Positive reports are telephoned to the submitter.	Reference Range: By Report
Limitations: Specimens that have been in transit for more than 6 days from the date of collection are not acceptable. Test can only be run on undiagnosed, untreated patients on processed non-bloody pulmonary specimens. A negative test does not mean the patient does not have M. tuberculosis disease. All tests must be confirmed by culture of specimen for the presence of mycobacteria.	Interpretation: A Positive MTD test means that the probe detected ribosomal RNA of the M. tuberculosis complex in the clinical specimen.
Specimen Requirements
Specimen Collection:	Sample Type: Clinical pulmonary specimen
Volume/Amount Required: 3 mL to 15 mL	Preferred Specimen: Sputum; Bronchial Washings Specimen can not be bloody
Collection/Preservation: No preservative	Storage Instructions: Transport specimen as soon as possible. Specimen must be shipped cold.
Causes for Rejection: Specimens that have been in transit for more than 6 days from the date of collection are not acceptable. Specimens received frozen, in formalin, or in culture medium will be rejected. Specimens from treated and diagnosed patients will be rejected for MTD analysis.	Sample Container: Triple contained. Sterile, leak-proof, 50 mL conical tube preferred for primary container.
Sample Test Kit:	Availability: MTD by special request. Please telephone 512-458-7342.
Diagnostic Information: Primary diagnostic specimens and isolates go to TDSHS Laboratory in Austin. Nucleic acid amplification testing for M tuberculosis complex on positive AFB smear primary pulmonary diagnostic specimens only.
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ship cold.	Shipping Requirements: Triple-contained and packaged to meet requirements of DOT, USPS, PHS, and IATA for shipping of clinical specimens.
Billing
CPT Code: 87550	Fees:

Microbiology
Mycobacteriosis (Microscopic – Truant’s Stain)
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Test Includes: Microscopic Examination of Clinical Specimen for Acid Fast Bacilli (AFB)
Reporting
Results Available: 1 day. Positive reports are telephoned to the submitter within two hours of availability.	Contact #s: 512-458-7586
Reference
Method: Truant’s Acid Fast Stain
Turnaround Time: 24 hours	Reference Range: Negative
Limitations: A negative microscopic examination does not mean that the patient’s specimen cannot be culture positive for AFB. This test is less sensitive than culture. The stain utilizes a fluorescent dye that can be taken up by the mycobacterium to different degrees depending on the species or if the patient is on antibiotic treatment. The quality of the specimen has major impact on the results of the microscopic examination.	Interpretation: The report states whether the test is Negative if No AFB are Seen or Positive if AFB are Seen on microscopic examination. If Positive, the report provides a quantitation to indicate how many AFB were seen in a high power field under the microscope. Occasionally, an examination will result in the observation of only one or two AFB in the entire test. This number of AFB (one or two) is reported but is not considered a positive result by CDC or the American Thoracic Society.
Specimen Requirements
Specimen Collection:	Sample Type:
Volume/Amount Required: 3 mL to 15 mL	Preferred Specimen: Sputum; Tissue; Exudate; Stool; Blood; Body Fluids; Urine
Collection/Preservation: No preservative	Storage Instructions: Transport specimen as soon as possible. If transport is delayed over one hour, refrigerate specimen, unless blood. This is important if the specimen is also to be cultured.
Causes for Rejection: Specimens received frozen, in formalin, or in culture medium will be rejected. Swabs are discouraged unless the only specimen available; submit swabs in 5 mL sterile saline. If swabs are submitted in transport medium, the test cannot be performed.	Sample Container: Triple contained. Sterile, leak-proof, 50 mL conical tube preferred for primary container. Add up to 10 mL of sterile saline to tissue if needed to maintain moisture during transport. If blood, must collect in Yellow-top vacutainer with SPS.
Sample Test Kit:	Availability: Tested 5 days/week: Monday-Friday
Diagnostic Information: Primary diagnostic specimens and isolates go to TDSHS Lab in Austin.
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ambient	Shipping Requirements: Triple-contained and packaged to meet requirements of DOT, USPS, PHS, and IATA for shipping of clinical specimens.
Billing
CPT Code: 87206	Fees:

Microbiology
Mycetoma (Culture – Isolation)
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Test Includes: Isolation of fungus and identification by morphological tests.
Reporting
Results Available: 21-28 days	Contact #: 512-458-7455 for prior approval Technical questions: 512-458-7586
Reference
Method: Slide culture
Turnaround Time: 21-28 days	Reference Range: Negative
Limitations: Delay in transport of specimen could compromise isolation of organism.	Interpretation:
Specimen Requirements
Specimen Collection:	Sample Type: Clinical Specimen
Volume/Amount Required:	Preferred Specimen: Tissue; Exudate
Collection/Preservation: No preservative	Storage Instructions: Transport specimen as soon as possible. If transport is delayed over one hour, refrigerate specimen.
Causes for Rejection: Specimens received frozen, in formalin, or in culture medium will be rejected. Swabs are discouraged unless the only specimen available; submit swabs in 5 mL sterile saline.	Sample Container: Triple-contained. Sterile, leak-proof, 50 mL conical tube preferred for primary container. Add no more than 10 mL sterile saline to tissue if needed to maintain moisture during transport.
Sample Test Kit:	Availability: Testing available upon approval of Dr. Penfield.
Diagnostic Information: Approval for this testing must be obtained prior to shipping by telephoning Dr. Susan Penfield at 512-458-7455.
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Ambient acceptable but 2-8º C preferred for non-sterile specimens.	Shipping Requirements: Triple-contained and packaged to meet requirements of DOT, USPS, PHS, and IATA for shipping of clinical specimens.
Billing
CPT Code: 87102	Fees:

Microbiology
Mycetoma (Culture – Identification)
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Test Includes: Identification of fungus by morphological tests
Reporting
Results Available: 21-28 days	Contact #s: 512-458-7586
Reference
Method: Slide Culture
Turnaround Time: 21-28 days	Reference Range: By report
Limitations:	Interpretation:
Specimen Requirements
Specimen Collection:	Sample Type:
Volume/Amount Required:	Preferred Specimen: Pure Culture
Collection/Preservation: No preservative.	Storage Instructions:
Causes for Rejection: Culture infested with mites.	Sample Container: Triple-contained.
Sample Test Kit:	Availability: Tested 5 days/week: Monday-Friday
Diagnostic Information: Fungal isolates (pure culture) submitted to this Laboratory for definitive identification. Drug susceptibility testing on these organisms not available at TDSHS laboratory.
Specimen Submission
Required Request Form: G-2B	Specimen Handling:
Transport Temperature: Room temperature	Shipping Requirements: Triple-contained and packaged to meet rigorous performance tests as outlined in the DOT, USPS, PHS, and IATA regulations for shipping of infectious substances.
Billing
CPT Code: 87102	Fees:

Microbiology
Mycoplasmosis (Serological – Forwarded by TDSHS to CDC for testing.)
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Test Includes:
Reporting
Results Available:	Contact #s:
Reference
Method:
Turnaround Time: 3 weeks	Reference Range: <1:8 (Nonreactive)
Limitations: May not detect a recent infection, or infection in a person with a severely compromised immune system.	Interpretation: Nonreactive indicates that the patient does not have detectable antibody to the infectious agent. Reactive indicates that the patient has detectable antibody to the infectious agent, and depending on the clinical picture, may have a current or past infection.
Specimen Requirements
Specimen Collection: Venipuncture	Sample Type:
Volume/Amount Required: 10 mL whole blood	Preferred Specimen: Single serum; Paired sera
Collection/Preservation: Red top or tiger top tube	Storage Instructions: Do not freeze or refrigerate whole blood. Separated serum may be held at 2-8°C
Causes for Rejection: Discrepancy between name on tube and name on form, insufficient quantity of serum for testing	Sample Container: Red top or tiger top tube
Sample Test Kit:	Availability:
Diagnostic Information: Previous notification is requested (458-7760). A detailed patient history is required. Single titers of >1:64 are indicative of recent infection. Titers of 1:8 to 1:32 may be indicative of either past or present infection. A four-fold or greater increase in titer between acute and convalescent specimens confirms the diagnosis.
Specimen Submission
Required Request Form: G-2A	Specimen Handling: Use Universal Precautions
Transport Temperature: Ambient temperature for specimens on the blood clot, separated serum at 2-8°C (refrigerated) or -20°C (frozen).	Shipping Requirements: Triple contain, separated serum may be shipped on cold packs (2-8°C), or frozen (-20°C) and mailed on dry ice.
Billing
CPT Code: 86738	Fees:

Microbiology Laboratory Tests: Mumps to Mycoplasmosis