Test Directory

Test Code
PCRTB
Test Name
Mycobacterium Complex DNA PCR
CPT Codes
87556
Expected Turnaround Time
1 - 3 days
Clinical Utility

Used for rapid detection of M. tuberculosis, when used in conjunction with mycobacterial culture. This test does not provide rifampin resistance information and is most useful for non-sputum specimens. This test should not be used to determine bacteriologic cure or to monitor response to therapy. This test is not intended for the detection of latent tuberculosis and must not be used as a substitute for tests intended for detection of latent tuberculosis such as the tuberculin skin test or an interferon gamma release assay.

Specimen and Container Info

Specimen

Volume

Container

Body Fluid (fresh, non-NALC/NaOH-digested body fluids)

1 mL

Sterile Container

Gastric Washing

2 mL

Sterile Container

Respiratory

1 mL

Sterile Container

Stool (fresh, non-NALC/NaOH-digested fecal specimen)

10 g

Sterile Container

Tissue (kept moist with sterile water or sterile saline)

10 mm

Sterile Container

Random Urine

1 mL

Sterile Container

NALC/NaOH-digested respiratory specimens

2 mL

Sterile Container

Collection Instructions
  1. Collect one of the acceptable sample types.
  2. Fresh, undigested specimens are preferred.
Processing and Submission Instructions
  1. Transport specimen in the original collection container.
  2. This test must always be performed in conjunction with mycobacterial culture.
  3. Specimen source is required.
Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Refrigerated

7 days

Frozen

7 days
Causes for Rejection
  • Specimen must arrive within 7 days of collection; if greater than 7 days of collection, the specimen will be rejected.
  • Blood
  • Specimen in anaerobe vial or viral transport medium (including but not limited to M4, M5, BD viral transport media, thioglycolate broth)
  • Swabs
  • Tissues in formalin fluid
Methodology
Real Time Polymerase Chain Reaction
Reference Intervals

 See patient report.

Limitations

Specimen volumes less than indicated may decrease sensitivity of testing.

This rapid PCR assay detects Mycobacterium tuberculosis complex nucleic acid and, therefore, does not distinguish between viable, disease-related organisms and nucleic acid persisting from prior infection. Test results should be correlated with patient symptoms and clinical presentation before a definitive diagnosis is made.

A negative result does not rule out the presence of M tuberculosis complex or active disease because the organism may be present at levels below the limit of detection for this assay.

The sensitivity of this test with stool specimens is 80% and testing of additional stool specimens should be considered if the result from the first specimen is negative.

Reference Lab
Mayo Clinic Laboratories
Testing Schedule
Routine, daily