Test Code FUNSPU Culture/Smear, Fungal, Sputum
Performing Laboratory
Lima Memorial Health System Laboratory
Specimen Requirements
Container/Tube: Sterile screw-capped container
Collection Instructions:
Expectorated
1. Collect an early-morning specimen using sputum collection kit (do not remove tube from outer cover) as follows:
A. Instruct patient to brush his/her teeth and/or rinse mouth well with water to minimize contaminating specimen with food particles, mouthwash, or oral drugs which may inhibit growth of mycobacteria.
B. Have patient remove dentures.
C. Instruct patient to take a deep breath, hold it momentarily, then cough deeply and vigorously into container, and collect 5 mL to 10 mL of discharged material.
2. Label container with patient’s name (first and last), date of birth or medical record number, date and actual time of collection, and type of specimen.
3. Send specimen refrigerated. Maintain sterility and forward promptly.
Nasal secretions, saliva, or 24-hour collection is not acceptable. Specimen source is required.
Induced
1. Collect an early-morning specimen using sputum collection kit (do not remove tube from outer cover) as follows:
A. Induce cough by inhalation of sterile, hypertonic saline.
B. Collect 5 mL to 10 mL of expectorated material.
2. Label container with patient’s name (first and last), date of birth or medical record number, date and actual time of collection, and type of specimen.
3. Send specimen refrigerated. Maintain sterility and forward promptly.
Avoid sputum contamination with nebulizer reservoir water. Specimen source is required.
Reference Values
No growth
Note: Cultures are held for 6 weeks.
Day(s) Test Set Up
Monday through Sunday
Methodology
Conventional Agar Technique
Includes a fungal smear. Identification performed if indicated, at an additional charge.
Test Classification and CPT Coding
87106 - Culture, fungus, definitive
87205 - Smear
87102 - Identification (if appropriate)