Culture, Fungus, not Hair, Skin, Nails [37960X]

Test Code

105

Alias/See Also

1231101491 | LAB2134: Fungal Culture Miscellaneous | QUEST EAP: 105

CPT Codes
87102

Includes

If culture is positive, then identification will be performed at an additional charge (CPT code(s): 87106, 87107, 87140, 87143, 87149 or 87158).

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

Preferred Specimen

1 mL abscess collected in a sterile, leak-proof container, or
1 swab abscess, wound exudates, aspirates or lesion material collected in Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab®) or equivalent, or
3 mL body fluids or CSF collected in a sterile, leak-proof container, or
1 swab ear, oral, throat, nose, nasopharyngeal, wound, or genital specimen collected in Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab) or equivalent, or
Any amount of eye/corneal scrapings collected in a sterile, leak-proof container or pre-inoculated agar media, or
2 mL sputum, lower respiratory, or bronchoalveolar lavage (BAL) fluid, brushing, washing or aspirate collected in a sterile, leak-proof container, or
Any amount of tissue or biopsy collected in a sterile, leak-proof container, or
10 mL urine, first morning, clean catch midstream, catheter collected, surgically collected, or after prostatic massage collected in a sterile, leak-proof container

Minimum Volume

1 mL abscess, body fluids, CSF or respiratory fluids • 1 swab • 5 mL urine

Instructions

Respiratory - If H. capsulatum is suspected, transport at room temperature

Transport Temperature

Raw specimens: Refrigerated (cold packs)
Swab specimens in transport medium: Room temperature

Specimen Stability

Swabs
Room temperature: 72 hours
Refrigerated: Unacceptable
Frozen: Unacceptable

Respiratory samples
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: Unacceptable

Urine
Room temperature: Unacceptable
Refrigerated: 48 hours
Frozen: Unacceptable

All other sample types
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

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

Specimens transported in alcohol or formalin • Specimens in EDTA, citrate or yellow top ACD vacutainer tubes • 24 hour urine collections • 24 hour sputum collections • Non-sterile containers • Viral transport medium • Stool specimens • Hair, skin, nails

Methodology
Culture

Setup Schedule

Set up: Daily; Report available: 28-42 days

Reference Range

See Laboratory Report

Clinical Significance

Fungi can infect the cerebral spinal fluid, other body fluids, and tissues. Infections occur more commonly among patients who are immunocompromised. Early diagnosis and effective treatment can reduce the likelihood of severe sequalae.

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

Last Updated: April 21, 2023

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.