Bronchial Fungal Smear and Culture

Synonyms	ASPERGILLUS BAL BALF BRONCHIAL WASH CX BRONCHIAL FUNGAL F BR FUNGI FUNGUS FUNGUS BRONCHIAL KOH LAB11759 MOLD MOULD YEAST
Cerner Name	Fungus Bronchial
Clinical Info	The respiratory tract begins with the nasal or oral passages and extends past to the trachea. The trachea divides into bronchi which subdivide into bronchioles. Lower respiratory specimens include tracheostomy aspirates, bronchial lavages, washings and brushings. The isolation of fungal pathogens can assist clinician in the early initiation of treatment targeted specifically to treat potential fungal disease.
Specimen Sources	BAL Bronchial, Left Bronchial, Right Bronchoalveolar, Left Bronchoalveolar, Right
Specimen Types	Aspirate Body Fluid Respiratory Wash
Specimen Volume	Minimum volume 0.5ml
Container	Sterile
Collection Instructions	· Label container with patient’s name (first and last), date and actual time of collection, and type of specimen. · Collect bronchial washes, lavages and aspirates under the direct supervision of a physician and place into a sterile container and transport in ambient temperature. · Brushes are to be placed in a sterile container with saline (1 ml)
Transport Instructions	Transport in ambient temperature.
Specimen Stability	Sample is stable for 48 hours at ambient temperature
Methodology	Microbiology Culture
Days Performed	7 days a week
Performing Laboratories	Northwell Health Laboratories If culture is positive, additional charge(s)/CPT code(s) may apply for identification and/or antibiotic susceptibilities performed when appropriate.
CPT	87102
PDM	6201268
Results
Result Interpretation No fungus isolated after 4 weeks If culture is positive, additional charge(s)/CPT code(s) may apply for identification and/or antibiotic susceptibilities performed when appropriate.
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