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).
Microscopic Exam • Culture • Isolation and Identification
Fungus Culture,Sputum Fungus Culture
Specimen requirements | |
|---|---|
| Patient preparation | None Specified |
| Preferred specimen(s) | 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 • 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 |
| Collection instructions | Respiratory: If H. capsulatum is suspected, transport at room temperature |
| Transport container | Sterile leak-proof container Amies liquid transport swab, Amies gel transport swab, Amies liquid elution swab (ESwab) or equivalent or pre-inoculated agar media |
| Transport temperature | Raw specimens: Refrigerated (cold packs) *If H. capsulatum is suspected transport at room temperature |
| Specimen stability | 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 |
| Reject criteria | 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 |
Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.
*The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.
This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.
The tests listed by specialty and category are a select group of tests offered. For a complete list of Quest Diagnostics tests, please adjust the filter options chosen, or refer to our Directory of Services.