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

Test Code
4553


CPT Codes
87102, 87206

Includes
Fungal smear and culture

If culture is positive, then identification and susceptibility will be performed at an additional charge (CPT code(s): 87106 or 87107 or 87186).


Preferred Specimen
Body fluids, CSF, and eye fluid (vitreous) specimens in a sterile, leak-proof container.
Ear,oral, throat, nose, nasopharyngeal, wound or genital specimen collected by swab and transported in a liquid or gel transport medium.
Ocular specimens collected in a sterile, leak-proof container, or transport swabs in liquid or gel transport medium.
Sputum, bronchoalveolar lavage (BAL) fluid, brushing, washing or aspirate collected in any sterile leak-proof container.
Tissue or biopsy specimen submitted in a sterile, leak- proof container.
First morning, clean catch midstream urine catheter collected, surgically collected urine, or after prostatic massage.


Minimum Volume
Any amount of specimen


Other Acceptable Specimens
Any body fluid or specimens collected by swabs • Ocular scrapings placed directly onto media and a clean microscope slide • Any respiratory sample • Any tissue sample


Transport Container
Sterile container. Add a small amount of saline to biopsy and soft tissue specimens. Transport swabs in liquid or gel transport medium.
Corneal specimens may be directly inoculated onto media, sealed tightly and submitted at room temperature.


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


Specimen Stability
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Whole blood • Skin • Nails • Stool • Received frozen • Specimen in formalin • Serum


Methodology
Microscopic Exam with Calcofluor White Stain (KOH) • Culture, Isolation and Identification

Setup Schedule
Daily


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 sequelae.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



Last Updated: November 6, 2024


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.