Test Code LAB240 Culture, Fungus
Performing Laboratory
Asante Rogue Regional Medical Center
Billing Code
3000435 / 3060061
Methodology
Culture
Specimen Requirements
Body fluids; abscess drainage; CSF; respiratory; tissue;
urine; cutaneous (skin, hair, nails) Body
Fluids/Abscess/Drainage: Syringe or sterile container
- CSF: Minimum 1 cc spinal fluid in sterile container
- Respiratory: Sterile container
- Cutaneous (skin, hair, nails): Sterile dry container (urine cup, Petri dish, between clean glass slides taped closed)
- Tissue: Sterile saline container
- Urine: Sterile container
- Body Fluids/Abscess/Drainage: Aspirate and submit capped syringe or place in sterile container.
- CSF: Collected by physician.
- Sputum: Collect 1st morning, deep cough specimen. 24 hour collections are unacceptable.
- Tissue: Collect biopsy and send to laboratory in sterile saline.
Urine: Collect mid-stream urine, preferably early
morning
specimen, into a sterile container.
Cutaneous: Skin - Clean surface with
70% alcohol. Scrape active margin of lesions with a
sterile
scalpel or edge of clean glass slide. Place epidermal
scrapings between glass slides that are then taped closed, or
in sterile dry tube, or Petri dish if there is adequate
sample.
Hair - No cleaning of scalp is necessary. Remove at least 10 hairs with forceps from infected area. Scrape scalp in areas where hair is broken off. Space specimen in sterile container (urine cup, Petri dish).
Nails - Clean with 70% alcohol. Scrape the outer surface of infected area and discard scrapings. Scrape deeper portion for culture. Remove a portion of debris from under nail. Collect nail clippings or whole nail if removed.
Place all material in a sterile urine cup or Petri dish.
Swab: Not recommended for most fungus cultures. Use culturette swab. Send to laboratory within 24 hours.
Day(s) Test Set Up
Monday through Sunday
Daily. Cultures cannot be ordered STAT or ASAP. Smear within 24 hours. Preliminary: weekly until final at 4 weeks. If reflex testing is required, test results will be delayed.
Test Classification and CPT Coding
87102 - Fungus Culture
87206 – Calcofluor, Smear, primary source with
interpretation
Additional Information
Use: Isolate and identify fungi.
Reflex Testing: May include: Definitive
Identification (Fungal); Tissue Grind; Cytospin
Specimen Transport Temperature and Stability
Ambient
Body fluids (not CSF), lower respiratory, urine: stable 24 hours refrigerated. CSF, other specimens: stable 24 hours at room temperature.
Performing Department
Microbiology