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Test Code IDENP Organism ID, Parasite/Medical Arthropod

Synonyms/Keywords

No Organism ID, Parasite, Arthropod, Worm, Tick ID, Scabies

Specimen Requirements

Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Arthropods 70-95% alcohol 10% formalin      
Worms, worm segments

10% formalin

       
Maggots Sealed container w/o preservatives or gauze moistened with water if <24hr        
Head/Body lice Pinworm paddle        
Skin Scrapings Scabies Colleciton Kit        

Collection/Processing Instructions

Parasite may be submitted in a screw cap sealed container w/o preservative, although not recommended.  

 

Patients may find organisms suspicious of parasites in their feces, on their body, or from within the house (mainly bedding, furniture, etc). Parasites and arthropods (insects, ticks, mites, lice) of human importance will be fully identified. Clinically unimportant parasites will be identified as fully as possible.   

 

Consult the Microbiology laboratory (800-222-5835 ext 16141) before submitting arthropods not primarily of medical significance (spiders, beetles, flies).   

 

Collection Instructions for Skin Scrapings for Scabies mites using Scabies Collection Kit (available from Customer Service or Microbiology Section):

Provider must have: Sterile scalpel, Container of mineral oil, Scotch tape

  1. Remove glass slides from the slide transport tube.
  2. Label frosted end of specimen slide and slide transport with patient name, medical record number, and date.
  3. Place a drop of mineral oil on a sterile scalpel blade.
  4. Allow some of the oil to flow onto the skin papule.  Scrape vigorously six or seven times to removed the top of the papule. (Tiny flecks of blood should be seen in the oil.)
  5. Transfer the oil and scrapings onto the frosted glass slide.
  6.  Add 1-2 extra drops of mineral oil to the slide and mix well.
  7. Clumps can be crushed to expose hidden mites.
  8. Place the plain glass slide onto the frosted specimen slide.
  9. Secure the slides firmly together with tape around both ends.
  10. Place the secured slides into the slide transport tube and place in the biohazard bag.
  11. Transport to the Microbiology Lab at room temperature as soon as possible. Failure to find mites, eggs, or fecal pellets upon microscopic exam does not rule out scabies.

Specimen Stability Information

Specimen Type Temperature Time
Parasite in preservative Room Temp Indefinite
Parasite w/o preservative Room Temp 24 hr

Rejection Criteria

Parasites w/o preservative: > 24 hr post discovery (if too dehydrated to identify)
Skin scrapings in formalin or alcohol

Slides not submitted in a leak-proof container

Broken slides

Reference Range Information

Performing Location Reference Range
All Performing Sites Interpretive report

Marshfield Labs Performing Department

Marshfield Labs Microbiology

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Friday 1 day Direct Observation/Microscopic Exam

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
87169     Macro exam, parasite  
87168     Macro exam, arthropod  

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
87169     Macro exam, parasite  
87168     Macro exam, arthropod  

Ordering Applications

Ordering Application Description
Cerner None