Mycoplasma pneumoniae, Qualitative PCR

Molecular Diagnostics - : DNA

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. Mycoplasma pneumoniae, Qualitative PCR
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

LAB261/MPPCR

Test Workstation :

DNA2

Specimen Type:

One flocked swab in 3.0 mL M4 Viral Transport Medium collected from nasopharyngeal or throat specimen.
2.0 mL bronchoalveolar lavage (BAL), bronchial wash, nasal wash, or tracheal aspirate collected in sterile container.
0.5 mL cerebrospinal fluid (CSF) collected in sterile container.

Minimum Volume:

CSF minimum volume is 0.2 mL.
BAL, bronchial wash, nasal wash, and tracheal aspirate minimum volume is 1.2 mL.

Cause for Rejection:

Quantity not sufficient, specimen clotted, improper anticoagulant, improper specimen type, improper storage/transport, Improper specimen type, improper storage/transport, improper swab, dry swab, swab not present in M4 VTM vial, multiple swabs per vial of M4 VTM, mislabeled, or unlabeled.

Storage:

Refrigerated

Availability:

Mon-Fri (7:30-16:00)

Methodology:

Real-time Polymerase Chain Reaction

Lab/Phone:

330-543-8722

TAT:

1-3 days

CPT Code:

87581

Search our Site

Need Help?

Operator

Ask Children's

For Healthcare Professionals

Go to section...

Quicklinks

Providers

Nurses

Research Institute

Search our site:

Laboratory Services

Mycoplasma pneumoniae, Qualitative PCR

Molecular Diagnostics - : DNA

Starting Locations:

Legal:

Mobile App:

About Akron Children's