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  • Report Form For Tuberculin Test (tb Test) - Alexandria City Public ...

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TB Test/Assessment Fee: $21.53 per patient Alexandria City Public Schools TB Clinic Dates/Times: Monday 1:00pm 3:30pm Tuesday 8:00am 11:00am 2000. N Beauregard Street, Suites 107 Alexandria, VA 22314.

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A TB skin test measures your immune system's response to a purified protein derivative (PPD) solution injected under your skin. PPD is a protein that comes from the bacteria that causes TB — Mycobacterium tuberculosis. It's not live bacteria, and it won't make you sick.

Place “0” of ruler line on the inside left edge of the induration. Read ruler line on the inside right edge of the induration (use lower measurement if between two gradations on mm scale)....Reading Do not record as “positive” or “negative”. Only record measurement in millimetres. If no induration, record as 0 mm.

Do not place tuberculin in the door of the refrigerator. Date the tuberculin vial when opening and discard it after 30 days.

To bill for placing the purified protein derivative (PPD) skin test for tuberculosis, use CPT®code 86580. Use this code when the nurse or medical assistant places the test on the patient's skin.

Visually inspect injection site under good light, and measure induration (thickening of the skin), not erythema (reddening of the skin)....Reading Do not record as “positive” or “negative”. Only record measurement in millimetres. If no induration, record as 0 mm.

The test is "negative" if there is no bump (or only a very small bump) at the spot where the fluid was injected. A negative TB skin test usually means that you don't have TB. In some situations, you may need to have another TB skin test later.

TST Documentation Requirements Name and signature of person administering test. Date and time test administered. Location of test (e.g., right forearm, left forearm, alternate site) Tuberculin manufacturer, lot number and expiration date.

Record Record the exact measurement in millimeters of induration on the Mantoux Tuberculin Skin Test Record Form. ... Record the date and time the test was read, the name and signature of the person who read the skin test, and the presence or absence of adverse effects (i.e., blistering, redness, and swelling)

The diameter of the indurated area should be measured across the forearm (perpendicular to the long axis). Erythema (redness) should not be measured. Indurations should be recorded in millimeters, even those classified as negative. If no induration is found, "0 mm" should be recorded.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232