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Culture, Nasal

Mnemonic

C NAS

Synonym

Nasal Culture

Includes

Includes looking for MRSA and MSSA among other pathogens. Susceptibility if applicable.

Guidelines

For specimens inside the nose. For specimens outside the nose, order Culture, Skin Superficial. Use separate order for sinus or nasal wash. Pertussis, Chlamydia, Mycoplasma, AFB, Fungus or Virology can also be ordered separately.

Order separate Culture, Methicillin Resistant STAPH or MRSA PCR Nasal Screen if ONLY looking for MRSA carriage.
 

Specimen Collection Requirements

Patient Preparation

Immobilize and tilt patient’s head at a 70 degree angle

Collect

Use a culture collection and transport swab, either regular size or minitip. Insert swab into nose, stay near septum and floor of nose, rotate swab several times and remove. Use minitip swab only for nasopharynx cultures.

View Swab Collection Guide

Handling

Wire minitip swabs may be bent to fit the curvature of the nose. Specify if screening for a specific organism; e.g. Neisseria meningitides, Staphylococcus aureus.

Minimum Volume

1 swab

Transport

Room temperature

Rejection Criteria

Frozen or dry specimen, leaking or nonsterile containers

Stability

Ambient: 24 hours; Refrigerated: 24 hours

Testing Information

Performed

7 days/week

Reported

Preliminary Negative: 1 day; Final Negative: 2-3 days

Method

Standard Aerobic Bacterial Culture

Reference Values

Reference Values

Normal upper respiratory or skin flora

Comments

Additional charges as needed for identification and to differentiate normal flora from pathogens (CPT 87077). Susceptibility tests are performed as appropriate (CPT 87186, 87184, 87181, 87147).

CPT Codes

87070, (87077, 87186, 87184, 87181, 87147 as needed)

Last Updated: Wednesday, December 16, 2020 02:18:22 AM


Client Services: 503-413-1234