Fungus CSF Culture/CAD
Test Mnemonic
FUNCSF
CPT Codes
- 87102 - QTY (1)
- 87899 - QTY (1)
LOINC ®
11475-1
Aliases
- Culture, Fungus CSF and Cryptococcus Antigen Detec
Includes
- Culture
- Cryptococcus Antigen Detection
Performing Laboratory
Cleveland Clinic Laboratories
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 3 mL | Cerebrospinal fluid (CSF) | Sterile container | Ambient | Ambient | Patient Preparation: Sterile preparation of aspiration site. Refrigerated specimens are not optimal for recovery of Histoplasma capsulatum. |
Minimum Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 2 mL |
Stability
| Environmental Condition | Description |
|---|---|
| Ambient | <6 hours is optimal; Lab will reject if >48 hrs. |
| Refrigerated | 12 hours |
| Frozen | Unacceptable |
Days Performed
Sun - Sat
Turnaround Time
5 weeks
Methodology
| Name | Description |
|---|---|
| Culture | |
| Latex Particle Agglutination (LPA) |
Reference Range
| Fungal Culture | |||||
|---|---|---|---|---|---|
| Sex | Age From | Age To | Type | Range | Range Unit |
| No fungal growth |
Special Info
Test includes both culture for fungus plus a Cryptococcal Antigen test utilizing latex agglutination methodology. CAD results are available within 1 day. If culture is positive, identification will be performed at an additional charge. Identification CPT codes that may apply include: 87106, 87107,87153, and 87186. Antimicrobial susceptibilities are performed upon request and only when clinically indicated, with CPT code 87186 applied. Yeast susceptibilities are performed in-house. Mold susceptibilities are sent to an outside reference lab. If Cryptococcal Antigen Detection is positive, a titer will be performed at an additional charge with CPT code 87899 applied.
Clinical Info
Order Fungal Culture with Cryptococcal Antigen test to rule out the cause of fungal infection in CSF and identify the causative agent. Antigen detection provides rapid results for diagnosing Cryptococcal meningitis.