Get the free Bordetella Pertussis PCR Submittal Form - slocounty ca

Este formulario se utiliza para la presentación de muestras para la detección de ácidos nucleicos de Bordetella pertussis mediante PCR. Incluye campos para información del paciente, del médico

How to fill out bordetella pertussis pcr submittal

How to fill out Bordetella Pertussis PCR Submittal Form

1. Gather patient information including name, age, and date of birth.
2. Record the patient's contact information.
3. Indicate the date of specimen collection.
4. Specify the type of specimen being submitted (e.g., nasopharyngeal swab).
5. Fill in the clinical information including symptoms and duration of illness.
6. Include physician's contact details for follow-up.
7. Ensure all fields are complete and legible.
8. Double-check for any additional required documentation or approval signatures.
9. Submit the form along with the specimen following the laboratory's submission guidelines.

Who needs Bordetella Pertussis PCR Submittal Form?

1. Patients exhibiting symptoms of whooping cough or suspected respiratory infections.
2. Healthcare providers needing to confirm a diagnosis of Bordetella pertussis.
3. Public health departments monitoring outbreaks of whooping cough.
4. Clinical laboratories performing PCR testing for Bordetella pertussis.

People Also Ask about

What is the PCR test for Bordetella pertussis?

Polymerase chain reaction (PCR) PCR is a molecular test used to detect B. pertussis DNA. Results can be obtained more rapidly and unlike culture, live bacteria do not need to be present in the specimen. PCR is more sensitive (less likely to be falsely negative) than culture.

What is the code for Bordetella pertussis?

Clinical Molecular Lab Test NameCPT CodeFee (FY23-24) Bordetella pertussis/holmesii, RT-PCR 87798 $96 Simplex Virus 1&2, RT-PCR 87529x2 $107 Measles detection, RT-PCR 87798 $107 Mumps virus detection, RT-PCR 87798 $10716 more rows

What is the ICD-10 code for Bordetella pertussis?

ICD-10 code A37. 0 for Whooping cough due to Bordetella pertussis is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .

What is the CPT code for Bordetella pertussis?

Includes: If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87147 or 87149 or 87143 or 87140). Clinical Significance: Bordetella pertussis is the cause of whooping cough.

What is the CPT code for Bordetella pertussis PCR?

Whooping cough due to Bordetella pertussis without pneumonia A37. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM A37. 00 became effective on October 1, 2024.

What is the name of the Bordetella pertussis vaccine?

Tdap vaccines (Adacel® and Boostrix®) are “booster” shots to protect preteens, teens and adults from tetanus, diphtheria and pertussis.

What is the ICD-10 code for Whooping cough vaccine?

ICD-10 code: Z23. 7 Need for immunization against pertussis alone.

For pdfFiller’s FAQs

What is Bordetella Pertussis PCR Submittal Form?

The Bordetella Pertussis PCR Submittal Form is a document used for collecting and submitting patient samples for PCR testing to detect the presence of Bordetella pertussis, the bacterium that causes whooping cough.

Who is required to file Bordetella Pertussis PCR Submittal Form?

Healthcare providers, including doctors and laboratories, who are testing patients for whooping cough symptoms are required to file the Bordetella Pertussis PCR Submittal Form.

How to fill out Bordetella Pertussis PCR Submittal Form?

To fill out the Bordetella Pertussis PCR Submittal Form, healthcare providers should provide patient demographic information, clinical details, the type of specimen collected, and any relevant medical history.

What is the purpose of Bordetella Pertussis PCR Submittal Form?

The purpose of the Bordetella Pertussis PCR Submittal Form is to ensure accurate and systematic collection of data for testing, which helps in the diagnosis and management of patients suspected of having whooping cough.

What information must be reported on Bordetella Pertussis PCR Submittal Form?

The Bordetella Pertussis PCR Submittal Form must report patient name, date of birth, contact information, specimen type, date of specimen collection, clinical symptoms, and testing physician's contact information.