MVista® Histoplasma Quantitative Antigen, EIA

Test Code
58792

CPT Codes
87385

Preferred Specimen
2 mL urine submitted in a sterile, leak-proof container

Minimum Volume
Urine 0.5 mL • Serum or plasma: 1.2 mL • CSF: 0.8 mL • Bronchoscopy specimen or body fluid: 0.5 mL

Other Acceptable Specimens
Serum • CSF, or Bronchoalveolar lavage, or body fluid submitted in a sterile leak-proof container • Plasma collected in: EDTA (lavender-top), or sodium heparin (green-top), or 3.2% sodium citrate (light blue-top) tube

Instructions
Indicate specimen type and date drawn on test request form. Two unique patient identifiers required on specimen container. List all antifungal agents patient is receiving.

Ship to arrive Monday-Friday using a next day delivery service or 2nd day service. Do not ship by first class mail.

Note: Interfering substances and cross-reactivities include sodium hydroxide and sputolysin. Cross-reactivity occurs between blastomycosis and histoplasmosis and in paracoccidioidomycosis, penicillosis, coccidioidomycosis, aspergillosis and sporotrichosis.

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: Indefinitely

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples in transport media • Fixative or isolator tubes • Tissue • Biopsy • Sputum, tracheal aspirate • FNA • Bone marrow aspirate • Bronchial brush • Stool

Methodology
Enzyme Immunoassay (EIA)

FDA Status
This test was developed and its performance characteristics determined by MiraVista Diagnostics. It has not been cleared or approved by the FDA; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

Setup Schedule
Set up: Mon-Fri a.m.; Report available: 2-3 days

Reference Range
See Laboratory Report

Performing Laboratory
MiraVista Laboratories
4444 Decatur Blvd., Suite 300
Indianapolis, IN 46241



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.