GC 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. GC Culture | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
GCC
Test Workstation :
MIC2
Specimen Type:
1.0 mL joint or body fluid in sterile container. Eswab collected from eye, throat, rectal, and genital source.
Minimum Volume:
Joint and body fluid minimum volume is 0.5 mL.
Cause for Rejection:
Quantity not sufficient, improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.
Storage:
Transport at room temperature and process within 24 hours.
Availability:
Mon-Sun
Methodology:
Culture
Lab/Phone:
330-543-8406
TAT:
72 hours
Additional Info:
GC culture is for isolation of Neisseria gonorrhoeae only. For broad workup, please order Genital Culture (Lab465).
CPT Code:
87081
Synonyms:
Neisseria gonorrhoeae Culture; Gonococcus Culture
