MVista® Blastomyces Quantitative Antigen EIA

Test Code

15109

CPT Codes
87449

Preferred Specimen

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

Minimum Volume

0.5 mL urine, BAL or other body fluids • 0.8 mL CSF • 1.2 mL serum or plasma

Other Acceptable Specimens

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

Instructions

Indicate specimen type and date drawn on test request form. Two unique patient identifiers required on specimen container.

Ship to arrive Monday-Friday using a next day delivery service or 2nd day service. Do not ship by first class mail. List all antifungal agents patient is receiving.

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; Report available: 3-5 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.