Fungal Culture and Smear Hair,Skin,Nail
Test Mnemonic
FHSNSM
CPT Codes
- 87101 - QTY (1)
- 87220 - QTY (1)
Aliases
- Calcofluor Smear
- Dermatophyte Culture
- Fungal Culture Dermal
- Fungal Smear
- KOH Smear
- Mold Culture
- Yeast Culture
Includes
- Both fungal culture and KOH with calcofluor smear for dermal sources.
Performing Laboratory
Cleveland Clinic Laboratories
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| Unspecified | Hair | Sterile container | Ambient | Hair samples should include the shaft. Thoroughly cleanse area with alcohol. Preferred volume is 10 - 12 hairs. Do not refrigerate; avoid moisture | |
| Unspecified | Nails | Sterile container | Ambient | Please cleanse area with alcohol and collect from deep in the nail bed with the outermost edge discarded. A specimen from beneath the nail is preferred. Do not refrigerate; avoid moisture |
Alternate Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| Unspecified | Skin | Sterile container | Ambient | Please cleanse area with alcohol. Skin scales should be scraped with a blade and placed into a sterile container. Do not refrigerate; avoid moisture | |
| Unspecified | Other | Sterile container | Ambient | Scalp is an acceptable specimen type. Use a sterile container. Scrape scalp using a sterile small brush. Place scrapings into a sterile container and submit to lab. Do not refrigerate; avoid moisture. |
Stability
| Environmental Condition | Description |
|---|---|
| Ambient | 2 weeks |
| Refrigerated | Unacceptable |
| Frozen | Unacceptable |
Days Performed
Sun - Sat
Turnaround Time
6 weeks
Methodology
| Name | Description |
|---|---|
| Culture | |
| Stain |
Reference Range
| Fungal Culture | |||||
|---|---|---|---|---|---|
| Sex | Age From | Age To | Type | Range | Range Unit |
| Freetext | No fungal growth | ||||
| Fungal Smear | |||||
| Sex | Age From | Age To | Type | Range | Range Unit |
| Freetext | No fungus seen |
Special Info
Hair, skin, nail, and scalp are the only acceptable specimen types. For other sources, please use order code FCUL for culture or FCULSM when requesting both fungal culture and smear. Test includes culture for yeasts and molds. If culture is positive, identification will be performed on potential fungal pathogens at an additional charge. Identification CPT codes that may apply include: 87106, 87107, 87149. Antimicrobial susceptibilities will be performed when requested and CPT code 87186 would apply.
Clinical Info
Culture to various selective agar media selected for optimal growth and recovery of dermatophytes and other fungal pathogens is performed. If culture only (without smear) is desired, order ACFSC - Fungal Culture Hair, Skin, Nail.