Culture, Fungus, other than Hair, Skin, Blood, with Fluorescent KOH

4553

Fungal smear and culture

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): (CPT
code(s): 87153).

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

1 mL abscess • 1 swab abscess, wound exudates, aspirates or lesion material • 1 mL body fluids/CSF • 1 swab ear, oral, throat, nose, nasopharyngeal, wound, or genital specimen • Any amount of eye/corneal scrapings • 1 mL sputum, lower respiratory or BAL fluid, brushing, washing or aspirate • Any amount tissue/biopsy • 5 mL of urine

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

Sterile leak-proof container
Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab) or equivalent or pre-inoculated agar media

Sterile leak-proof container
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

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

Pre-inoculated agar media
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Lower respiratory
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: Unacceptable

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

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

Daily

The prompt detection of fungus in clinical samples is extremely important for in-patient management. Disseminated fungal infections are increasing in prevalence, and fungus cultures are essential for the isolation and subsequent identification of the causative agents.