Culture, Fungus, other than Hair, Skin, Blood, with Fluorescent KOH
Test Code: 4553
CPT Code(s): 87102, 87206
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.
Includes: Fungal smear and culture. If culture is positive identification will be performed at an additional charge (CPT code(s): 87106 or 87107 or 87140 or 87143 or 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).
Methodology: Microscopic Exam with Calcofluor White Stain (KOH) • Culture, Isolation and Identification
Test FAQ: Culture, Fungus
Alternative Name(s): Sputum Fungus Culture, Fungus Culture
Additional Preferred Specimen:
Culture, Fungus, Other Than Hair, Skin, Blood, With Fluorescent Koh (Amies Liquid)
Supply:
- #S12 E-swab, Routine, white cap
- #U02 90mL Sterile Cup with Green Lid
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 E-Swab® 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 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
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
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Raw Specimen - Refrigerated (cold packs)
- Swab specimen in transport medium - Room Temperature
- *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
- Received Frozen
- Specimen in Formalin
- Specimen in EDTA, citrate or yellow-top ACD vacutainer tubes
- 24-hour urine collections
- 24-hour sputum collections
- Non-sterile containers
- Viral transport mediums
- Stool specimens
- Hair, skin, or nails
For additional supply or collection device information, please contact DLO's Customer Service at (800) 891-2917, option 2.
The CPT codes provided 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.