Fungus Culture With Stain

CPT: 87101 (may vary with source); 87206
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Test Details

Test Includes

KOH/Calcofluor stain and Fungus (Mycology) Culture [008482]. Calcofluor preparation (India ink preparation on cerebrospinal fluid) and culture for fungus; identification (additional charges/CPT code[s] may apply) if culture results warrant. Before results are reported, cultures are held for one to four weeks, based on specimen source: results on sterile body fluids and blood are reported in four weeks; results on hair, skin, and nails are reported in three weeks; results on urine and genital specimens are reported in one week. CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed.

Use

Aid in the establishment of the diagnosis of fungal infection

Limitations

This test should not be the sole criterion used to establish diagnosis in case of infection.

Methodology

Culture and stain

Specimen Requirements

Specimen

Aspirate, biopsy, body fluid, bronchoalveolar lavage (BAL), nails, hair, skin, sinus, sputum, stool, urine, or genital

Volume

2 mL or 1 cc tissue; whole nails or scrapings, hairs, skin scrapings; 50 mL body fluid; 5 mL aspirates

Container

Sterile container with fluid or tissue; bacterial swab transports (two swabs: one for culture, one for stain)

Storage Instructions

Refrigerate respiratory specimens that are contaminated with oropharyngeal flora; other specimens should be at room temperature.

Causes for Rejection

Fungal stain (KOH/Calcofluor) cannot be performed on blood; unlabeled specimen or name discrepancy between specimen and request label; specimen submitted in syringe with needle attached; inappropriate transport device; swab without evidence of specimen present; specimen received after prolonged transport (usually more than 72 hours); specimens received after leaking transport container into specimen bag. Trach-suction devices will often leak if the cap with tubing is not removed and replaced by a solid cap. This may need to be done by personnel collecting the specimen as the solid cap is usually in with the device. If there is not solid cap, the specimen should be transferred to a leakproof sterile cup with metal cap.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
188243 Fungus Culture With Stain 188244 Fungus Stain 21003-9
188243 Fungus Culture With Stain 008482 Fungus (Mycology) Culture 580-1
Reflex Table for Fungus Stain
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080564 Result 080565 Result 1 580-1
Reflex Table for Fungus Stain
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080564 Result 080566 Result 2 17947-3
Reflex Table for Fungus Stain
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080564 Result 080567 Result 3 17948-1
Reflex Table for Fungus Stain
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080564 Result 080568 Result 4 17949-9
Reflex Table for Fungus Stain
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080564 Result 080569 Antimicrobial Susceptibility N/A
Reflex Table for Fungus (Mycology) Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080092 Result 080094 Result 1 580-1
Reflex Table for Fungus (Mycology) Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080092 Result 080095 Result 2 17947-3
Reflex Table for Fungus (Mycology) Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080092 Result 080096 Result 3 17948-1
Reflex Table for Fungus (Mycology) Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080092 Result 080097 Result 4 17949-9
Reflex Table for Fungus (Mycology) Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 080092 Result 080098 Antimicrobial Susceptibility N/A

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The LOINC® codes are copyright © 1994-2017, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf