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Alphabetical Index
Implant/Hardware/Ortho Infection Culture (Aerobic/Anaerobic) (LAB002064)
Test Mnemonic:

C IMP/HARDWARE
Specimen Requirements:

Per IDSA guidelines, at least 3 periprosthetic intraoperative tissue samples and the explanted device itself should be sent for culture.
Test Included:

Aerobic and anaerobic culture for potential pathogens. Culture is held for 14 days to rule out infection from Cutibacterium spp. 
Container:

Sterile container
Storage/Transport:

Store tissue or device in sterile container without preservative or additive. Transport to lab as soon as possible for optimal recovery of potential pathogens.
Stability:

Up to 24 hours, ambient temperature. Delivery of samples to the lab as soon as possible is recommended.
Causes for Rejection:

Missing/Improper patient information. 
Methodology:

Aerobic and Anaerobic culture for the isolation of potential pathogens including Cutibacterium spp.
Performed:

Clinical Microbiology
Turnaround Time:

Culture is held up to 14 days to rule out isolation of Cutibacterium spp.
Reference Range:

No organisms isolated.
CPT 4 Code:

87205- Gram stian

87070- Culture, aerobic, with isolation and presumptive identification of isolates.

87075- Culture, anaerobic, with isolation and presumptive identification of isolates.

Additional CPT codes may apple when potential pathogens are recovered. 
Note:

Catheter tips are not acceptable sources for this culture and should instead be ordered as Catheter cultures. 

For guidelines on diagnosis and treatment of PJIs, please refer to Infectious Disease Society of America (IDSA). 
Synonyms:

PJI, Prosthetic joint infections, Implant, Hardware, Medical Devices, VAD (LVAD, RVAD, BIVAD) 
Clinical Indication:

Patients with suspected prosthetic joint infections, or infections from implants, hardware or other medical devices. 
Effective Date: 04/20/2022
Reviewed By/Date: 0 - 01/01/1900
Approved By/Date: Williams-Bouyer, Natalie - 09/12/2023
When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-10 code or its verbal equivalent.

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