Fungus Smear, Sputum, Tissue, or Body Fluid [8627X]

Test Code
8627

CPT Codes
87206

Preferred Specimen
Skin, hair, nails submitted in a sterile, leak-proof container, or Air dried smears, or Raw specimen other than stool, sterile fluid, or bronchoalveolar lavage, or sputum

Other Acceptable Specimens
Specimen other than stool, submitted on a rayon, dacron, calcium alginate, or flocked nylon culture swab in bacterial transport medium, or Amies gel transport medium (blue or red-top)

Instructions
This test code should be used for specimens from sources other than blood or specimens found on the skin surface. Fungus cultures and smear from all skin, hair, and nail sources should be ordered using test code 13303 (Fungus Culture and Smear (Skin, Hair, or Nails), and cultures on blood should be should be ordered as 6024 (Fungus culture, Blood).

*Please contact the Microbiology Department for any other questions.
Specimen Requirements: (Preferred): Raw specimen, any clinical source other than stool. Air dried smears prepared from any clinical specimen other than stool.

Transport Temperature
Slides and gel or liquid swabs: Room temperature
Raw specimens: Refrigerated (cold packs)

Specimen Stability
Skin, Hair Nails
Room temperature: 14 days
Refrigerated: 14 days
Frozen: Unacceptable

Swab in Transport Media and Air dried smear
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Fluid, bronchial lavage or sputum
Room Temperature: Unacceptable
Refrigerated: 72 hours
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Broken slides or smears too thick to read • Smears fixed with Cytology fixative • Slides previously stained by cytology and cover slipped • Expired transport devices • Excessively bloody samples • DNA probe transport device • Viral transport medium • Stool specimens

Methodology
Calcofluor White Stain • Microscopic Examination • Potassium Hydroxide (KOH)

Setup Schedule
Set up: Daily; Report available: Next day

Reference Range
No fungus seen on microscopic examination

Clinical Significance
This examination can provide the physician with early information regarding the possible need for antifungal treatment.

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.