Fungitell® (1-3)-Beta-D-Glucan, BAL

Test Code
12348


CPT Codes
87449<br>** This test is not available for New York patient testing **

Includes
This test is not available for New York patient testing.


Preferred Specimen
1 mL bronchoalveolar lavage collected in a sterile screw-cap container


Minimum Volume
0.5 mL


Instructions
Transfer specimen into a cryogenic vial (DNAse, RNAse, pyrogen-free) or glucan free tube. Do not submit glass tubes.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 5 days
Frozen -20° C: Unacceptable
Frozen -70° C: 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Glass tubes


Methodology
Protease Zymogen-based Colorimetric Kinetic Assay

Setup Schedule
Set up: Daily; Report available: 1-2 days


Reference Range
See Laboratory Report


Clinical Significance
Invasive Fungal Infections (IFI) are increasing, especially among immunocompromised patients. Most pathogenic fungi have (1-3)-beta-D-glucan in their cell walls and minute quantities are sloughed into the bloodstream and appear in the serum in cases of IFI. Monitoring serum (1-3)-beta-D glucan for evidence of elevated and rising levels provides a convenient surrogate marker for IFI.




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.