Ordering Recommendations

Aid in the diagnosis of invasive/disseminated fungal infections (eg, P. jirovecii, Aspergillus, or Candida).

Collect

Plain Red or Serum Separator Tube (SST).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to a sterile ARUP Standard Transport Tube (ARUP supply # 43115) available online through eSupply using ARUP Connect ™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)

Additional Specimen Handling Instructions

**Must use STERILE ARUP Standard Transport Tube**

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Specimen types other than those listed. Hemolyzed, icteric, or lipemic specimens.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 2 weeks

Notes

Reference ranges for pediatric patients (less than 18 years old) have not been established. Assay ranges were validated in adult subjects.

Referral Lab

Ordering Recommendations

Aid in the diagnosis of invasive/disseminated fungal infections (eg, P. jirovecii, Aspergillus, or Candida).

EPIC Order Code

LAB4067

Sunquest Code

FNGTLS

Reference Lab Number

2002434

Synonyms

  • FNGTLS
  • LAB4067
  • Glucan
  • Beta-D glucan
  • Fungitell

CPT Codes

87449

LOINC

  • 93479-4
  • 42176-8

Reference Lab Number

2002434

Reference Interval

Less than 31 pg/mL: Negative
31-59 pg/mL: Negative
60-79 pg/mL: Indeterminate
Greater than or equal to 80 pg/mL: Positive

Interpretive Data

The Fungitell test is indicated for presumptive diagnosis of fungal infection and should be used in conjunction with other diagnostic procedures. This test does not detect certain fungal species such as Cryptococcus, which produce very low levels of (1,3)-beta-D-glucan. This test will not detect the zygomycetes, such as Absidia, Mucor, and Rhizopus, which are not known to produce (1,3)-beta-D-glucan. In addition, the yeast phase of Blastomyces dermatitidis produces little (1,3)-beta-D-glucan and may not be detected by the assay.

Collection

Ordering Recommendations

Aid in the diagnosis of invasive/disseminated fungal infections (eg, P. jirovecii, Aspergillus, or Candida).

Collect

Plain Red or Serum Separator Tube (SST).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to a sterile ARUP Standard Transport Tube (ARUP supply # 43115) available online through eSupply using ARUP Connect ™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)

Additional Specimen Handling Instructions

**Must use STERILE ARUP Standard Transport Tube**

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Specimen types other than those listed. Hemolyzed, icteric, or lipemic specimens.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 2 weeks

Notes

Reference ranges for pediatric patients (less than 18 years old) have not been established. Assay ranges were validated in adult subjects.

Referral Lab

Ordering

Ordering Recommendations

Aid in the diagnosis of invasive/disseminated fungal infections (eg, P. jirovecii, Aspergillus, or Candida).

EPIC Order Code

LAB4067

Sunquest Code

FNGTLS

Reference Lab Number

2002434

Synonyms

  • FNGTLS
  • LAB4067
  • Glucan
  • Beta-D glucan
  • Fungitell
Fees & Codes

CPT Codes

87449

LOINC

  • 93479-4
  • 42176-8

Reference Lab Number

2002434
Clinical & Interpretive

Reference Interval

Less than 31 pg/mL: Negative
31-59 pg/mL: Negative
60-79 pg/mL: Indeterminate
Greater than or equal to 80 pg/mL: Positive

Interpretive Data

The Fungitell test is indicated for presumptive diagnosis of fungal infection and should be used in conjunction with other diagnostic procedures. This test does not detect certain fungal species such as Cryptococcus, which produce very low levels of (1,3)-beta-D-glucan. This test will not detect the zygomycetes, such as Absidia, Mucor, and Rhizopus, which are not known to produce (1,3)-beta-D-glucan. In addition, the yeast phase of Blastomyces dermatitidis produces little (1,3)-beta-D-glucan and may not be detected by the assay.

Lab Use Only

Test Information

Performing Lab
ARUP
Methodology
Semi-Quantitative Colorimetry
Performed
Mon-Fri
Reported
1-3 days

ARUP Consult®

Disease Topics