Skip to main content

Cryptococcus Antigen, Cerebrospinal Fluid

CPT 87899. If reflex titer testing is performed, concomitant CPT codes/charges will apply.

Test Details

Methodology

Lateral flow immunochromographic assay

Result Turnaround Time

1 - 3 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 Documents

Test Includes

Reflex to titer on positive; reflex to culture when criterion is met.

Use

Aid in establishing the presence of Cryptococcus neoformans or Cryptococcus gattii infection.

Special Instructions

Cerebrospinal fluid (CSF) specimens will have a fungus culture performed when antigen-positive (per CAP regulations), if it is not requested separately.

Limitations

Endpoint titers may not correlate between different methods of cryptococcal antigen testing. Patients with positive cryptococcal antigen results, therefore, should be monitored using the same assay.

Specimen Requirements

Specimen

Cerebrospinal fluid (CSF)

Volume

1 mL

Minimum Volume

0.5 mL

Container

Sterile plastic (CSF) tube

Stability Requirements

Temperature

Period

Refrigerated

5 days

Storage Instructions

Refrigerated (2°-8°C) or frozen (<−20°C)

Causes for Rejection

Quantity not sufficient for analysis; hemolysis; lipemia; gross bacterial contamination; inadequate labeling; specimen received after prolonged delay (usually >72 hours); inappropriate transport device

References

Binnicker MJ, Jespersen DJ, Bestrom JE, Rollins LO. Comparison of four assays for the detection of cryptococcal antigen. Clin Vaccine Immunol. 2012 Dec; 19(12):1988-1990. 23081814
Klausner JD, Vijayan T, Chiller T. Sensitivity and specificity of a new cryptococcal antigen lateral flow assay in serum and cerebrospinal fluid.MLO. 2013 Mar; 45(3):16,18,20. 23822028

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
183016 Cryptococcus Antigen, CSF 70911-3 183017 Cryptococcus Antigen, CSF 70911-3
183016 Cryptococcus Antigen, CSF 70911-3 183019 CAP Mandated Reflex to Culture N/A
Order Code183016
Order Code NameCryptococcus Antigen, CSF
Order Loinc70911-3
Result Code183017
Result Code NameCryptococcus Antigen, CSF
UofM
Result LOINC70911-3
Order Code183016
Order Code NameCryptococcus Antigen, CSF
Order Loinc70911-3
Result Code183019
Result Code NameCAP Mandated Reflex to Culture
UofM
Result LOINCN/A
Reflex Table for Cryptococcus Antigen, CSF
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183018 Cryptococcus Ag Titer, CSF 183018 Cryptococcus Ag Titer, CSF 9817-8
Reflex 1
Order Code183018
Order NameCryptococcus Ag Titer, CSF
Result Code183018
Result NameCryptococcus Ag Titer, CSF
UofM
Result LOINC9817-8
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183023 Fungus (Mycology) Culture 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183023
Result NameFungus (Mycology) Culture
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183023 Fungus (Mycology) Culture 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183023
Result NameFungus (Mycology) Culture
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183023 Fungus (Mycology) Culture 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183023
Result NameFungus (Mycology) Culture
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183023 Fungus (Mycology) Culture 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183023
Result NameFungus (Mycology) Culture
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183023 Fungus (Mycology) Culture 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183023
Result NameFungus (Mycology) Culture
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183027 Result 1 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183027
Result NameResult 1
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183028 Result 2 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183028
Result NameResult 2
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183029 Result 3 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183029
Result NameResult 3
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183030 Result 4 569-4
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183030
Result NameResult 4
UofM
Result LOINC569-4
Reflex Table for CAP Mandated Reflex to Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183022 Fungus (Mycology) Culture 183035 Antimicrobial Susceptibility N/A
Reflex 1
Order Code183022
Order NameFungus (Mycology) Culture
Result Code183035
Result NameAntimicrobial Susceptibility
UofM
Result LOINCN/A