Resources

Fungal Smear (Calcofluor Stain)

Message
Lab only orderable. Unit will have to put in a Lab Communication
Calcofluor stain for fungal elements (mold) or Coccidioides species spherules
Calcofluor white stains are automatically performed for the following sources, when a fungal culture is ordered:
  • Bronchoalveolar Lavage
  • Corneal scraping
  • Liquid specimens such as abscess fluids, eye fluids
  • Sterile body fluid
  • Tissue
 
Calcofluor (fungal) stains maybe requested as a separate Lab Communication for the following sources
  • bronchial brushing
  • bronchial washing
  • hair, skin, nail
  • Esophageal brushing
  • tongue scrapings

 


Test Code
CALC


Alias/See Also
Fungal stain
Fungal smear
Calcofluor Candida Thrush Screen (MD Anderson ONLY)


CPT Codes
87206

Preferred Specimen
Lower respiratory specimens such as: Bronchoalveolar lavage, Lung tissue
Sterile body fluids, tissue samples, abscess aspirates, corneal scrapings


Instructions
Describe specific type of specimen, such as: Bronchoalveolar lavage, Pleural fluid, Left lung tissue


Transport Temperature
Ambient/ Room Temperature.
 


Specimen Stability
For Fluids or Tissues: Send to the Lab within 2 hours of collection.
DO NOT refrigerate specimens.
DO NOT place specimens on ice.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unacceptable specimens:
Urine specimens
Genital specimens
Specimens received on swabs including eSwabs


Methodology
Microscopic examination

Clinical Significance
Calcofluor white is used for rapid screening of clinical specimens for fungal elements. Calcofluor white stain is a colorless, nonspecific fluorescent dye that binds certain polysaccharides present in cellulose and chitin. It exhibits fluorescence when the dye is exposed to long wave ultraviolet light and short wavelength visible light. Clinical specimen (fresh, frozen, fixed, or paraffinimbedded) where fungus including Pneumocystis jiroveci is suspected or fungal growth isolated on culture media is suitable for examination using this test.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.