CSF Culture

Laboratory - : Microbiology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. CSF Culture
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CSFC

Test Workstation :

MMIC2

Specimen Type:

Cerebrospinal fluid

Tube Type:

CSF Container

Collection Volume:

1.0 mL (minimum 0.5 mL)

Cause for Rejection:

Specimen received in nonsterile container. Specimen sent on swab.

Storage:

Ambient

Availability:

Daily

Methodology:

Culture

Special Instructions:

Deliver to laboratory immediately. DO NOT PUT ON ICE! Be sure that caps are screwed on securely before transporting to laboratory. CSF culture includes cytoprep gram stain of specimen. Do not order a separate gram stain.

Lab/Phone:

330-746-9623

TAT:

72 hours

Additional Info:

Preliminary report available after 24 hours

CPT Code:

87070

Synonyms:

Spinal Fluid Culture; LP Culture; Ventricular Culture

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CSF Culture

Laboratory - : Microbiology

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