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Coccidioides Antibody, Complement Fixation, CSF

Test Summary

Infection by Coccidioides immitis can produce a spectrum of disease with most patients being asymptomatic and some developing disseminated disease including pneumonia and meningitis. C. immitis meningitis is associated with a mononuclear pleocytosis.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL CSF collected in a sterile plastic leak-proof CSF container

Minimum Volume

0.2 mL

Instructions

N/A

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 7 days
  • Refrigerated: 14 days
  • Frozen: 30 days

Limitations

False-negatives may occur in patients with solitary pulmonary lesions. Patients with active histoplasmosis may generate cross reactions. Elevated serum antibodies may be present in patients with meningeal coccidiocomycosis.

Other Acceptable Specimens

N/A

Unacceptable Specimens

Gross hemolysis • Grossly icteric

Order Code

COCCD

EPIC (Premier) Code

LAB3562

Includes

N/A

CPT Code

  • 86635

Billing Code

  • 670219

CPT Statement

Methodology

Complement Fixation (CF)

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly VA, 20153

Department

Reference Testing

Reference Range

<1:1 titer

Interpretive Criteria
<1:1 Antibody Not Detected
≥1:1 Antibody Detected

Setup Schedule / Expected Turnaround Time

Tuesday - Saturday; Report available: 2 - 5 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL CSF collected in a sterile plastic leak-proof CSF container

Minimum Volume

0.2 mL

Instructions

N/A

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 7 days
  • Refrigerated: 14 days
  • Frozen: 30 days

Limitations

False-negatives may occur in patients with solitary pulmonary lesions. Patients with active histoplasmosis may generate cross reactions. Elevated serum antibodies may be present in patients with meningeal coccidiocomycosis.

Other Acceptable Specimens

N/A

Unacceptable Specimens

Gross hemolysis • Grossly icteric

Billing

CPT Code

  • 86635

Billing Code

  • 670219

CPT Statement

Result Information

Methodology

Complement Fixation (CF)

Testing Laboratory

N/A

Reference Range

<1:1 titer

Interpretive Criteria
<1:1 Antibody Not Detected
≥1:1 Antibody Detected

Setup Schedule / Expected Turnaround Time

Tuesday - Saturday; Report available: 2 - 5 days