Microsporidia Exam [3562X]

Test Code

MSPE

Alias/See Also

LAB3272

CPT Codes
87207

Includes

Smear and Concentration (if performed)

Preferred Specimen

5 grams or 5 mL stool

Minimum Volume

Stool or Duodenal fluid. 2 g or 2 mL Urine, CSF, BAL: 2 mL

Other Acceptable Specimens

Duodenal fluid submitted in 10% formalin container, or Total-Fix® transport vial • Corneal scrapings submitted in a slide holder • Urine, or CSF, or bronchoalveolar lavage submitted in a sterile, leak-proof container

Instructions

1. Stool duodenal aspirates fixed in 10% formalin or Total-Fix®.
2. Urine sediments, CSF, BAL/Nasal secretions: preferred in sterile container, acceptable on microscope slide, methanol (or 10% formalin).
3. Conjunctival/corneal scrapings, preferred on microscope slide, methanol (or 10% formalin). Ship preserved specimens at room temperature (preferred).

Transport Temperature

Stool or Duodenal fluid or Corneal scrapings:
Room temperature

Urine, CSF, or BAL: Refrigerated (cold packs)

Specimen Stability

Stool, Duodenal, and Corneal scrappings

Room temperature: 30 days

Refrigerated: 30 days

Frozen: Unacceptable

Urine, CSF, and Bronchoalveolar
lavage

Room temperature: Unacceptable

Refrigerated: 7 days

Frozen: Unacceptable

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

Unpreserved stool • Stool in Cary-Blair or PVA • Received frozen

Methodology

Microscopy

Setup Schedule

Set up: Mon, Thurs a.m.; Report available: Next day

Report Available

Set up: Mon, Thurs a.m.; Report available: Next day

Reference Range

See Laboratory Report

Clinical Significance

Microsporidia infection was first recognized as a cause of chronic diarrhea in patients infected with HIV. Microsporidia may also cause pneumonia, acute bilateral keratoconjunctivitis, and infection of the biliary and pancreatic ducts.

Performing Laboratory
Quest Diagnostics Nichols Institute 14225 Newbrook Drive Chantilly, VA 20153

Last Updated: February 20, 2023

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.