Culture, Fungus, Skin, Hair or Nails [39515X]

Test Code

7998

CPT Codes
87101

Includes

If culture is positive, identification will be performed at an additional charge (CPT code(s): 87106 or 87107).

DNA Sequencing and Direct Probe are additional identification methods. If the organism cannot be identified by the original method or if there are multiple organisms, either may be performed at an additional charge (CPT code(s): DNA sequencing 87153, Direct Probe 87149).

Preferred Specimen

Basal portions of infected hairs, scrapings from the active, peripheral edge of lesions and scrapings from recently invaded nail tissue submitted in a sterile leak-proof container or dry swab in sterile container

Other Acceptable Specimens

Swab in bacterial transport medium

Instructions

Remove hairs with forceps, scrape skin or scalp scales, clip nails and include keratin scrapings. Cleanse skin with alcohol before scraping. Cleanse feet and hands before collecting nails.

Note: Refrigeration is not recommended because it can inhibit dermatophytes.

Transport Temperature

Room temperature

Specimen Stability

Sterile container
Room temperature: 14 days
Refrigerated: See instructions
Frozen: Unacceptable

Transport swab
Room temperature: 72 hours
Refrigerated: See instructions
Frozen: Unacceptable

Methodology
Fungal Culture, Isolation and Identification

Setup Schedule

Set up: Daily; Report available: 4-6 weeks

Reference Range

Not isolated

Clinical Significance

Fungi cause many types of infections, some of which may become serious, especially in immunocompromised and hospitalized patients. The appropriate collection, transport and processing of specimens allows the recovery of fungal organisms and the association of a specific fungus with a disease process.

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.