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Legionella spp. Identification

Laboratory Fee Schedule
Procedure #:  MAA0035A
CPT: 87077

Synonym(s): Legionnaires' disease, legionellosis, Pontiac fever, Legionella pneumophila

Requisition Form

G-2B

Test Description

Identification of Legionella spp.

Pre-Approval Needed

Yes; Pre-approval needed from DSHS Epidemiology for environmental isolates. 

Supplemental Information Required

N/A

Supplemental Form(s)

N/A

Performed on Specimens from (sources)

Human (Environmental origin: Isolates only with prior approval) 

Sample/Specimen Type for Testing

Clinical

  • Tissue; Pleural Fluid; Sputum; Bronchial Washings in sterile, leakproof container. 

Pure Isolate

  • Isolates should be prepared on appropriate slants-Buffered Charcoal Yeast (BCYE) 

Minimum Volume/Size Required

Clinical:  500µl  

Isolate:  At least one viable colony 

Storage/Preservation Prior to Shipping

Clinical sample:

  • <48 hours store at 4°C
  • ≥48 hours: Freeze immediately at ≤-20°C

Isolate: Store ≤14 days at 4°C

Transport Medium

 Appropriate solid medium that supports growth, such as BCYE 

Specimen Labeling

  • At least two patient-specific identifiers required (e.g., patient full name, date of birth, medical record number). 
  • Three patient identifiers are preferred. 
  • Identifiers on specimen must exactly match submission form.
  • Additional DSHS Laboratory specimen labeling guidelines available online here.

Shipping and Specimen Handling Requirements

  • Ship according to Dangerous Good Regulations, IATA, and/or CFR 49. 
  • Category B Biological Substance, UN3373 shipping requirements apply.
  • Handle as infectious agent using universal precautions.
  • Triple-contain in accordance to regulatory requirements.
  • Submitters are responsible for packaging and shipping specimens according to regulatory requirements.
  • Laboratory does not supply collection kits or shipping materials.
  • Additional DSHS Laboratory specimen labeling guidelines online her

Clinical

  •  <48hrs from collection ship on cold pack 
  • >48hrs freeze at ≤-20°C and ship on dry ice. 

Isolate

  • Ship on cold pack.  

Method

MALDI-TOF (Mass Spectrometry); Bacterial culture; Direct Immunofluorescence assay

Turn-around Time

4-21 days

Interferences/Limitations

  • Material must be viable. 
  • Improper storage or shipping temperatures limit organism recovery.

Common Causes for Rejection

  • Insufficient quantity
  • Unacceptable specimen type or source
  • Improper shipping conditions
  • Expired media or collection container
  • Discrepancies between specimen label and submission form
  • Incomplete or missing submission form

Additional Information

Non-Legionella pneumophila serogroup 1 specimens will be forwarded to CDC for further testing.