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Bone marrow bacterial culture (088-0054)
Clinical Indication:

 Suspected bacterial infection of the bone marrow
Test Mnemonic:

 C BF or C BFBN if submitted in blood culture bottle (Bactec)
Methodology:

 Gram stain (unless submitted in blood culture bottles); culture for the isolation of aerobic and anaerobic bacteria and antimicrobial susceptibility testing if appropriate.
Performed:

 Microbiology
Turnaround Time:

 Preliminary report after 1 day; final report after 5 days
Specimen Requirements: Collect: Using aseptic technique, collect bone marrow aspirate into a sterile Pediatric Isolator tube, heparin Vacutainer tube  or inject 1-5 ml of fluid into a blood culture bottles.

Specimen Preparation: Sterile container; Bactec bottles

Storage/Transport: Transport immediately, do not refrigerate

Stability: 24 hours

Causes for Rejection: Improper tube collected. Insufficient quantity, submission of container other than a Pediatric Isolator tube or heparin tube, clotted specimens may result in false negative cultures.
Clinical Information:

Blood culture bottles are recommended for optimal recovery when small quantity of bacteria are present.
Reference Range:

No growth
Note:

Bactec bottles and Pediatric Isolator tubes are available through Materials Management
CPT 4 Code:

 87070- routine culture; 87040 Bactec bottle culture
Review [9/17/2012] by [T. Friloux]

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-9 code or its verbal equivalent.

 

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