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Test Code Billings Clinic: 6794 Culture, Bronchial Alveolar Lavage (BAL), Fungus

Performing Laboratory

Billings Clinic Laboratory

Methodology

Reflex Information:
This test may automatically reflex to other tests. An additional fee may be added. The ordering physician/provider must indicate if the reflex test is NOT DESIRED. Indicate on order if no reflex test is desired.

General Information:

Fungal cultures are held for 24 to 28 days. Physician and/or nurse in charge of patient will be notified immediately of any significant fungal growth.

Specimen Requirements

1. Bronchial alveolar lavage specimen should be collected by a trained person in the Pulmonary Department.

2. Submit ≥10 mL of bronchial alveolar lavage in a screw-capped, sterile container.

3. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.

4. Maintain sterility and forward promptly at ambient or refrigerated temperature.

Note:  Specimen source is required on request form for processing.

Reference Values

No growth
Automatic call-back:  positive for any systemic fungus

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

CPT Code:

87102 - culture, fungus; isolation other
87106 - culture fungus, definitive identification, yeast (if appropriate)

87107 - culture fungus, definitive identification, mold (if appropriate)

Microbiology Coding:
Proper coding for MICROBIOLOGY tests depends on what procedures are actually performed which may depend on the organism(s) isolated. When a culture is initially set up, organism(s) may be isolated and a presumptive identification takes place. When/if an organism(s) grows, a definitive identification and possible MIC of each organism may be indicated.