CSF Culture
| 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. | |
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| 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
