188243: Fungus Culture With Stain

Test Details

Methodology

Culture and stain

Result Turnaround Time

30 - 42 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Information

Test Includes

KOH/Calcofluor stain and Fungus (Mycology) Culture [008482]. Calcofluor preparation 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

This test is used to 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.

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 screw-capped container for fluid or tissue, bacterial swab transports (two swabs: one for culture, one for stain), ESwab®

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	Result LOINC
188243	Fungus Culture With Stain	580-1	188244	Fungus Stain	21003-9
188243	Fungus Culture With Stain	580-1	008482	Fungus (Mycology) Culture	580-1
Order Code	188243
Order Code Name	Fungus Culture With Stain
Order Loinc	580-1
Result Code	188244
Result Code Name	Fungus Stain
UofM
Result LOINC	21003-9
Order Code	188243
Order Code Name	Fungus Culture With Stain
Order Loinc	580-1
Result Code	008482
Result Code Name	Fungus (Mycology) Culture
UofM
Result LOINC	580-1

Reflex Table for Fungus Stain
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080564	Result	080565	Result 1	580-1
Reflex 1
Order Code	080564
Order Name	Result
Result Code	080565
Result Name	Result 1
UofM
Result LOINC	580-1

Reflex Table for Fungus Stain
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080564	Result	080566	Result 2	17947-3
Reflex 1
Order Code	080564
Order Name	Result
Result Code	080566
Result Name	Result 2
UofM
Result LOINC	17947-3

Reflex Table for Fungus Stain
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080564	Result	080567	Result 3	17948-1
Reflex 1
Order Code	080564
Order Name	Result
Result Code	080567
Result Name	Result 3
UofM
Result LOINC	17948-1

Reflex Table for Fungus Stain
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080564	Result	080568	Result 4	17949-9
Reflex 1
Order Code	080564
Order Name	Result
Result Code	080568
Result Name	Result 4
UofM
Result LOINC	17949-9

Reflex Table for Fungus Stain
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080564	Result	080569	Antimicrobial Susceptibility	N/A
Reflex 1
Order Code	080564
Order Name	Result
Result Code	080569
Result Name	Antimicrobial Susceptibility
UofM
Result LOINC	N/A

Reflex Table for Fungus (Mycology) Culture
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080092	Result	080094	Result 1	580-1
Reflex 1
Order Code	080092
Order Name	Result
Result Code	080094
Result Name	Result 1
UofM
Result LOINC	580-1

Reflex Table for Fungus (Mycology) Culture
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080092	Result	080095	Result 2	17947-3
Reflex 1
Order Code	080092
Order Name	Result
Result Code	080095
Result Name	Result 2
UofM
Result LOINC	17947-3

Reflex Table for Fungus (Mycology) Culture
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080092	Result	080096	Result 3	17948-1
Reflex 1
Order Code	080092
Order Name	Result
Result Code	080096
Result Name	Result 3
UofM
Result LOINC	17948-1

Reflex Table for Fungus (Mycology) Culture
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080092	Result	080097	Result 4	17949-9
Reflex 1
Order Code	080092
Order Name	Result
Result Code	080097
Result Name	Result 4
UofM
Result LOINC	17949-9

Reflex Table for Fungus (Mycology) Culture
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	080092	Result	080098	Antimicrobial Susceptibility	N/A
Reflex 1
Order Code	080092
Order Name	Result
Result Code	080098
Result Name	Antimicrobial Susceptibility
UofM
Result LOINC	N/A

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