Fungal Isolator Blood Culture
Label Mnemonic: FUNBL
Epic code: LAB2217
Order form: Microbiology Laboratory Requisition
Supply order: Supply Order Form
Billing: Billing Policies
CPT code: 87103
Specimen(s):
Whole Blood
Collection Medium:
Fungal Isolator Tubes
Minimum:
1.5 mL; pediatric Isolator blood culture tube (923003)
8-10 mL; adult Isolator blood culture tube (922848)
Testing Schedule:
0700-2200, 7 days a week, including holidays.
Turn Around Time:
Cultures are held 4 weeks.
Comments:
Recommended specifically for fungal blood cultures. Should be paired with routine blood culture bottles. Do not refrigerate.
Methodology:
Standard plated media
Instructions:
8 mL needed in yellow top (ACD) tube.

Cleanse skin with ChloraPrep® one-step 1.5 mL Frepp® Applicator (907672). Collect 8-10 mL of blood for adult (1.5 mL for child) and inoculate into an Isolator tube (Adult=922848; Pediatric=923003). Collect in addition to bacterial blood culture bottles. Isolator tubes must be filled completely. Under filling will reduce yield. Isolator tubes are for molds, Histoplasma, Blastomyces, and Malassezia spp. For blood stream infection by Candida spp.; order a blood culture (LAB462) instead. If patient is allergic to chlorhexidine, prep site with a povidone iodine swab stick (907172) applied in concentric circles (start at center). Allow to dry > 1 min before venipuncture. If patient is also allergic to iodine, cleanse site with 70% alcohol for 1 min.
Sample Processing:
Label transport tube with two patient identifiers, date and time of collection.
Specimen should be collected and packaged as close to shipping time as possible.
Sample Storage:
Specimen cannot be frozen.
Blood Specimen - Store at ambient or room temperature.
Transport Instructions:
Place requisition into outside pocket of bag.
Place specimen into zip-lock type bag, seal bag.
DO NOT FREEZE, protect specimen by wrapping in bubble-wrap or toweling.
Recommend early AM overnight shipping or equivalent if not on courier service.
CPT Code:
87103
 
See also:
Fungal Culture