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Culture, Fungus, Blood [39522X]
Test Code14701
CPT Codes
87103
Includes
If culture is positive, identification will be performed at an additional charge for each organism (CPT code(s): 87106 or 87107).
In the event of an initial identification of Coccidioides, Histoplasma, or Blastomyces, there will be a reflex to one of the following test codes at an additional charge:
Coccidioides immitis Identification, DNA Probe (CPT code: 87149); or
Histoplasma capsulatum Identification, DNA Probe (CPT code: 87149); or
Blastomyces dermatitidis Identification, DNA Probe (CPT code: 87149)
If additional identification method is required, ITS nucleic acid sequencing may be added at an additional charge (CPT code: 87153).
Yeast Susceptibilities will be performed at an additional charge (CPT code(s): 87186).
In the event of an initial identification of Coccidioides, Histoplasma, or Blastomyces, there will be a reflex to one of the following test codes at an additional charge:
Coccidioides immitis Identification, DNA Probe (CPT code: 87149); or
Histoplasma capsulatum Identification, DNA Probe (CPT code: 87149); or
Blastomyces dermatitidis Identification, DNA Probe (CPT code: 87149)
If additional identification method is required, ITS nucleic acid sequencing may be added at an additional charge (CPT code: 87153).
Yeast Susceptibilities will be performed at an additional charge (CPT code(s): 87186).
Preferred Specimen
5 mL whole blood, submitted in Bactec® Myco/F Lytic aerobic blood bottle
Minimum Volume
1 mL
Other Acceptable Specimens
Bone marrow collected in Bactec® Myco F/Lytic aerobic blood bottle • Whole blood in FDA cleared (non-Bactec) blood culture bottle, or SPS tubes (blood only)
Instructions
Bactec® Myco/F Lytic aerobic blood bottle is the only acceptable container type.
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable
Refrigerated: Unacceptable
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received frozen • Specimens in EDTA (lavender-top) tubes • Specimens in heparin (green-top) tubes • Specimens in citrate ACD tubes • FDA Cleared non-Fungus Blood Culture bottle
Methodology
Continuous Monitoring Blood Culture System
Setup Schedule
Set up: Daily; Report available: 4-6 weeks
Reference Range
See Laboratory Report
Clinical Significance
Fungal infections are most common among hospitalized patients, specifically with indwelling catheters, or who are immunocompromised. Blood culture is a method to detect invasive fungal infections.
