Susceptibility, Yeast, Comprehensive Panel

Test Code
17823

CPT Codes
87186

Includes
Amphotericin B, Anidulafungin, Caspofungin, Fluconazole, 5-Flucytosine, Itraconazole, Micafungin, Posaconazole, Voriconazole

Preferred Specimen
Pure isolate collected on an agar slant in a double-walled container

Other Acceptable Specimens
Agar plate in a double-walled container

Instructions
Pure growth of isolated mature colonies of rapidly growing, non-fastidious yeast including Candida spp. and cryptococcus species, and miscellaneous other rapid growing yeast. Identification of the isolate is required.

Transport Temperature
Room temperature

Specimen Stability
Room temperature: Determined by viability
Refrigerated: Determined by viability
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Non-viable isolates • Yeast mixed with filamentous fungi • Mixed yeast or yeast mixed with bacteria • Mold or filamentous fungi with no yeast • Raw samples • Mold or filamentous bacteria

Methodology
Broth Dilution

FDA Status
This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means.

Setup Schedule
Set up: Daily; Report available: 3-5 days

Reference Range
See Laboratory Report

Clinical Significance
Susceptibility testing may be performed for yeast (Candida species) and other rapidly growing yeast isolates, when therapy failures occur, when appropriate therapy is critical for successful patient outcome, when long-term therapy is necessary, and when insufficient information is available for empiric therapy judgment.

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



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.