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BUFFY COAT FOR HISTOPLASMA EXAM (088-0019)
Clinical Indication:

 Suspected bloodstream infection with Histoplasma

Test Mnemonic:

 F BC
Methodology:

 Microscopic examination of stained Buffy coat smears to detect yeast cells consistent with Histoplasma capsulatum.
Performed:

 Clinical Microbiology
Turnaround Time:

 24-48 hours
Specimen Requirements: Collect: Using aseptic technique, collect Lavender topped tube (EDTA)

Specimen Preparation: No preparation required

Storage/Transport: Transport immediately, do not refrigerate

Stability: 24 hours

Causes for Rejection: Clotted sample.
Clinical Information:

Blood culture bottle (Myco/F lytic) is recommended for optimal recovery. Order Buffy coat tests only during acute phase of illness.
Reference Range:

Negative
Note:

An Infectious Disease consult may be required.
CPT 4 Code:

87206
Review [9/17/2012] by [T. Friloux]

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

 

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