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Cryptococcal Antigen Screen, Serum or Spinal Fluid

Code: 8300
Keywords/Mnemonics: crypto
Updated: 02/23/2011

Specimen Required:

Submit one of the following:

Serum 1 plain red top serum tube or 1 gold top serum gel tube. Send 1.0 mL of serum  removed from the fully clotted whole blood (plain red or serum gel tube) and transferred to a sterile labeled tube.

CSF 1.0 mL cerebrospinal fluid (CSF).should be aseptically collected and transferred to a sterile labeled screw-top tube.

Store/transport specimen refrigerated.

Patient Prep: None
Reference Values:

Negative

Positive Results will automatically reflex a titer.

Critical Value:  Positive results

IMPORTANT NOTE: "Cryptococcus gattii is an emerging agent of cryptococcosis that is indistinguishable from C. neoformans by most routine laboratory tests, including the Cryptococcal Antigen test." ASM-A Quick Guide to the Significance and Laboratory Identification of Cryptococcus gattii, January 18, 2011.

Days Performed: Daily
Days Reported: Daily
Interference: Trichosporon beigelii has been shown to produce a cross-reactive poly-saccharide antigen.
Rejection:

Methodology: Latex Agglutination
CPT Code(s):

86403 - Particle agglutination, screen
86406 - Titer, each antibody

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