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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.

This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

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)