Fungus culture, other source

Alphabetical Test listing

Fungus culture, other source-6579

  
Fungus culture, other source
  
6579
  
87102.2
  
FUN
  
Fungal culture
  

Isolation of fungi (molds and yeast) from clinical specimens.

 

  

Blood:

See 6580 - Fungus culture - blood

Hair and nails:

See 888 - Fungus culture - skin, hair and nails

Vaginal, mouth, stool and specimens for yeast only:

See 6548 - Yeast culture

  
Sputum/Bronchoscopy/Tracheal Aspirate
  
  
  • Sputum: As much as available
  • Bronchoscopy/Tracheal Aspirate: 1 mL
  

First morning specimens produced by a deep cough are optimal

 

 

  

Screw cap plastic container (sterile)

 

  
  • Tissue
  • Ear, Exudate, Eye, Lesion, Nose, Pus, Sinus, Throat, Ulcer, or Wound
  • Urine
  • Normally sterile body fluid such as pleural, peritoneal, pericardial, spinal fluid, or synovial fluid
  

Tissue:

Screw cap plastic container (sterile)

(Alternative Eswab listed below)

 

Ear, Exudate, Eye, Lesion, Nose, Pus, Sinus, Throat, Ulcer, or Wound:

Eswab collection kit:

 

Urine:

Screw cap plastic container (sterile)

 

Normally sterile body fluid such as pleural, peritoneal, pericardial, spinal fluid, or synovial fluid:

Screw cap plastic container (sterile)

 

  
Tissue: 1 gram (Pea sized)
Urine: 10 -20 mL
Normally sterile body fluid such as pleural, peritoneal, pericardial, spinal fluid, or synovial fluid: 10 - 20 mL
  

Tissue:

Place tissue in sterile container cover with enough sterile saline to keep moist. 

Alternatively, place tissue in Eswab container.

 

Ear, Exudate, Eye, Lesion, Nose, Pus, Sinus, Throat, Ulcer, or Wound:

Submit Eswab

 

Normally sterile body fluid such as pleural, peritoneal, pericardial, spinal fluid, or synovial fluid:

Submit in sterile container.

 

Urine:

Collect 10-20 mL of catherized or midstream urine in a sterile container. First early morning specimens are prefereable.

  
  
  • Identify source
  

Bronchoscopy, Body Fluid, Ear, Exudate, Eye, Lesion, Nose, Pus, Sinus, Sputum, Throat, Tissue, Ulcer, or Wound:

Refrigerated - 48 hours

Urine:

Refrigerated - 12 hours

  
  • Improper label (unlabeled or mislabeled)
  • Time delay between time of collection and receipt of specimen
  • Inappropriate timing of collection
  • Improper transport container
  • Improper transport temperature
  • Inappropriate specimen type
  • Expectorated sputum with oropharyngeal contamination
  • 24 hour sputum collections 
  • 24 hour urine collections
  • Leaking container
  
AHL - Microbiology: M
  
Daily
  
4 weeks
  

Culture

  

Clinical and Interpretative Data

Presence of systemic pathogenic fungi may be demonstrated in respiratory specimens. Significant isolates are: Coccidioides immitis, Blastomyces dermatitidis, Histoplasma capsulatum, Aspergillus fumigatus, and Cryptococcus neoformans.

Molds or yeast reported from culture need to be evaluated in the clinical context of the patient:

  • Fungi repeatedly isolated from clinical specimens of the same patient.
  • Patients with underlying conditions putting them at higher risk for fungal infection such as immunocompromised, diabetes, or burns.
  • Treatment with antibiotics suppressing normal bacterial flora allowing overgrowth of normal fungal flora.

Candida species frequently exist on the mucosal and skin surfaces without disease production.

  

Cultures positive for Coccidioides immitis, Blastomyces dermatitidis, Histoplasma capsulatum, or Cryptococcus neoformans.

  
87102

Additional CPT codes (if appropriate):
87186 - Sensitivities
87077 - ID
This list may not be all inclusive if there is the need to send the ID or sensitivities out to a referral laboratory
  
11/30/2001
  
02/24/2023
  
12/18/2023