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Culture, Fungus and Smear [4553X]
Test Code870
CPT Codes
87102, 87206
Includes
Fungal smear and culture
If culture is positive, then identification and susceptibility will be performed at an additional charge (CPT code(s): 87106 or 87107 or 87186).
If culture is positive, then identification and susceptibility will be performed at an additional charge (CPT code(s): 87106 or 87107 or 87186).
Preferred Specimen
Body fluids, CSF, and eye fluid (vitreous) specimens in a sterile, leak-proof container, or
Ear, oral, throat, nose, nasopharyngeal, wound or genital specimen collected by swab and transported in a liquid or gel transport medium, or
Ocular specimens collected in a sterile, leak-proof container, or transport swabs in liquid or gel transport medium, or
Sputum, bronchoalveolar lavage (BAL) fluid, brushing, washing or aspirate collected in any sterile leak-proof container, or
Tissue or biopsy specimen submitted in a sterile, leak proof container, or
First morning, clean catch midstream urine Catheter collected, surgically collected urine, or after prostatic massage
Ear, oral, throat, nose, nasopharyngeal, wound or genital specimen collected by swab and transported in a liquid or gel transport medium, or
Ocular specimens collected in a sterile, leak-proof container, or transport swabs in liquid or gel transport medium, or
Sputum, bronchoalveolar lavage (BAL) fluid, brushing, washing or aspirate collected in any sterile leak-proof container, or
Tissue or biopsy specimen submitted in a sterile, leak proof container, or
First morning, clean catch midstream urine Catheter collected, surgically collected urine, or after prostatic massage
Minimum Volume
Any amount of specimen
Other Acceptable Specimens
Any body fluid or specimens collected by swabs, ocular scrapings placed directly onto media and a clean microscope slide; any respiratory sample, any tissue sample
Instructions
Please note: This Test Code should be used for specimens from sources other than blood or specimens found on the skin surface.
Fungus cultures and smears from all skin, hair, and nail sources should be ordered using Test Code 13303 [Fungus Culture and Smear (Skin, Hair and Nails)], and cultures on blood ordered as 6024 (Fungus Culture, Blood). Clinicians who send tissues, biopsies, or aspirates for deep fungus should label the specimens as such, and continue to order Test Code 870 (Fungus Culture and Smear, Sources other than Skin).
Primary specimen form any source in sterile, leak-proof container. Tissues or brushes in transport medium or in a small amopunt of sterile saline are acceptable. If KOH is requested, a second swab must be submitted. For Skin/Hair /Nails, refer to 4605X or 39505X.
Please contact the Microbiology Department for any other questions.
Fungus cultures and smears from all skin, hair, and nail sources should be ordered using Test Code 13303 [Fungus Culture and Smear (Skin, Hair and Nails)], and cultures on blood ordered as 6024 (Fungus Culture, Blood). Clinicians who send tissues, biopsies, or aspirates for deep fungus should label the specimens as such, and continue to order Test Code 870 (Fungus Culture and Smear, Sources other than Skin).
Primary specimen form any source in sterile, leak-proof container. Tissues or brushes in transport medium or in a small amopunt of sterile saline are acceptable. If KOH is requested, a second swab must be submitted. For Skin/Hair /Nails, refer to 4605X or 39505X.
Please contact the Microbiology Department for any other questions.
Transport Temperature
Raw specimens: Refrigerated (cold packs)
Swab specimens in transport medium: Room temperature
Swab specimens in transport medium: Room temperature
Specimen Stability
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable
Refrigerated: 72 hours
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Whole blood • Skin • Hair • Nails • Stool &bull: Received frozen • Specimen in formalin • Serum
Methodology
Microscopic Exam with Calcofluor White Stain (KOH) • Culture, Isolation and Identification
Setup Schedule
Set up: Daily; Report available: 4-6 weeks
Reference Range
See Laboratory Report
Clinical Significance
Fungi can infect the cerebral spinal fluid, other body fluids, and tissues. Infections occur more commonly among patients who are immunocompromised. Early diagnosis and effective treatment can reduce the likelihood of severe sequelae.
