Test ID: CTB
Mycobacterial Culture
List Fee
Provides the Mayo Medical Laboratories list fee for performing the test
$152.80
The following charge(s) may be added:
$98.60 for procedure #45265 Mycobacteria Identification by Sequencing (each)
$64.40 for procedure #45424 Mycobacteria Probe Ident, Solid (each)
$64.40 for procedure #45433 Mycobacteria Probe Indent, Broth (each)
$44.90 for procedure #45468 Ident, M. chelonae and M. abscessus, PCR (each)
$13.60 for procedure #45444 Tissue Processing (each)
$44.30 for procedure #80667 Mycobacteria Culture, Concentration (each)
$23.80 for procedure #45471 Susc, Mtb MOP, 1 drug (each)
$268.10 for procedure #60270 Mtb PAZ Confirmation, pncA sequence (each)
$44.90 for procedure #45469 Id,M.chelonae and M.abcessus,PCR (each)
Test Classification
Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.
NY State Approved
Indicates the status of NY State approval and if the test is orderable for NY State clients.
CPT Code Information
Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.
Mycobacterial Culture
87116
Mycobacteria Identification by Sequencing
87153 (if appropriate)
Mycobacteria Probe Ident, Solid
87150 (if appropriate)
Mycobacteria Probe Ident, Broth
87150 (if appropriate)
Ident, M. chelonae and M. abscessus, PCR
87149 (if appropriate)
Tissue Processing
87176 (if appropriate)
Mycobacteria Culture, Concentration
87015 (if appropriate)
Susc, Mtb MOP, 1 drug
87190 (if appropriate)
Mtb PZA Confirmation, pcnA sequence
87153 (if appropriate)


