Fungal Culture

Message
If Histoplasma, Coccidioides, or Blastomyces is the presumptive diagnosis, a DNA probe will be added for confirmation at an additional charge per probe.Identification performed on mould isolates. Limited yeast identification performed from non-sterile sites. Identification of moulds and/or yeasts on positives is billed separately from culture.Fungal smear must be ordered separately.  Refer to Fungal Stain, KOH with Calcofluor White (ARUP test code 2004589).Order test according to source type:Blood/Bone Marrow: Blood Culture, Fungal (ARUP test code 0060070)Genital, fecal and oral: Yeast Culture (ARUP test code 0060150)Skin, hair and nails: Fungal Culture, Skin, Hair and Nails (ARUP test code 0060728)All other sources: Fungal Culture (ARUP test code 0060149)


Test Code
6090


Alias/See Also
Culture, Fungus (Fungal Culture); Yeast Culture; Mold Culture (Fungal Culture); Culture, Yeast; Skin Culture (Fungal Culture)


Preferred Specimen
Material or fluid from any body site.


Minimum Volume
Specimens from a sterile body site (fluids, tissues, etc.): Room temperature. Specimens from a nonsterile site (respiratory, GI tract, etc.): Refrigerated. If CSF cannot be transported within eight hours, hold CSF at 35°C until the time of transport.


Instructions
Place each specimen in a separate, individually sealed bag. (Min: 1 mL fluid) A single specimen may be cultured for both bacteria and fungi. Source of specimen is required. Also acceptable: Swabs (but sub-optimal for recovery of fungi).


Transport Temperature
Specimens from a sterile body site (fluids, tissues, etc.): Room temperature. Specimens from a nonsterile site (respiratory, GI tract, etc.): Refrigerated. If CSF cannot be transported within eight hours, hold CSF at 35°C until the time of transport.


Specimen Stability
Ambient: 24 hours; Refrigerated: 1 week; Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Catheter tips.


Methodology
Standard reference procedures for fungal culture. Standard reference procedures for identification and/or ITS rDNA Sequencing. DNA probes available for Histoplasma, Coccidioides, and Blastomyces

Setup Schedule
Sun-Sat


Report Available
Positive cultures are reported as soon as detected Preliminary negative within 3 weeksFinal negative within 5 weeks


Limitations
Please notify laboratory if Malassezia furfur is suspected. Special media must be used for the cultivation of this yeast.




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.