Culture, Fungus, Skin, Hair or Nails

Test Code
39515


CPT Codes
87101

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

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
Basal portions of infected hairs, scrapings from the active, peripheral edge of lesions and scrapings from recently invaded nail tissue collected in a sterile, leak-proof container
OR
Dry swab in a sterile container
OR
Swab in a bacterial transport medium


Minimum Volume
Any amount basal portion or scrappings
1 swab


Instructions
Remove hairs with forceps, scrape skin or scalp scales, clip nails and include keratin scrapings. Cleanse skin with alcohol before scraping. Cleanse feet and hands before collecting nails. Refrigeration is not recommended because it can inhibit dermatophytes.


Transport Container
Sterile leak-proof container
Dry swab in sterile container
Swab in bacterial transport medium


Transport Temperature
Room temperature


Specimen Stability

Hair, skin and nail specimens:
Room temperature: 14 days
Refrigerated: See instructions
Frozen: Unacceptable

Transport swabs:
Room temperature: 72 hours
Refrigerated: See instructions
Frozen: Unacceptable



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens other than hair, skin or nails • Specimens transported in alcohol or formalin


Methodology
Fungal Culture, Isolation and Identification

Setup Schedule
Day shift Mon-Fri


Report Available
4 weeks


Clinical Significance
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.


Performing Laboratory
Quest Diagnostics LLC
200 Forest Street, 3rd Floor, Suite B
Marlborough, MA 01752-3023




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.