Ordering Recommendations

Use to monitor coccidioidal antibody titer in serum in response to treatment. For initial diagnosis of coccidioidomycosis, refer to Coccidioides Antibodies Reflexive Panel, Serum (3001982).

Orderable SIM Number(s)

FUNGAL SEROLOGY, COCCI, COMP FIX (LAB123232)

 

Synonyms

  • San Joaquin Fever Antibody by CF
  • Valley Fever by CF
  • Coccidioides Serology, Complement Fixation
  • Cocci IgG, IgM CF
  • Coccidioidomycosis IgG/IgM
  • San Joaquin Fever Antibody
  • Valley Fever antibodies
  • Coccidioides immitis
  • Coccidioidomycosis
  • Valley Fever
  • LAB123232

ARUP Test Code

0050170

Collect

Serum separator tube (SST).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP standard transport tube. (Min: 0.6 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens..

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Other body fluids. Contaminated, hemolyzed, icteric, or lipemic specimens.

Stability (from collection to initiation)

Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Remarks

Mark specimens plainly as "acute" or "convalescent."

Reference Interval

Less than 1:2

Interpretive Data

A titer of 1:2 or greater suggests past or current infection. However, greater than 30 percent of cases with chronic residual pulmonary disease have negative complement fixation (CF) tests. Titers of less than 1:32 (even as low as 1:2) may indicate past infection or self-limited disease; anticoccidioidal CF antibody titers in excess of 1:16 may indicate disseminated infection. CF serology may be used to follow therapy. Antibody in CSF is considered diagnostic for coccidioidal meningitis, although 10 percent of patients with coccidioidal meningitis will not have antibody in CSF.

CPT Codes

86635

Billable SIM Number(s)

3058663501

LOINC

  • 33380-7
Overview

Ordering Recommendations

Use to monitor coccidioidal antibody titer in serum in response to treatment. For initial diagnosis of coccidioidomycosis, refer to Coccidioides Antibodies Reflexive Panel, Serum (3001982).

Orderable SIM Number(s)

FUNGAL SEROLOGY, COCCI, COMP FIX (LAB123232)

 

Synonyms

  • San Joaquin Fever Antibody by CF
  • Valley Fever by CF
  • Coccidioides Serology, Complement Fixation
  • Cocci IgG, IgM CF
  • Coccidioidomycosis IgG/IgM
  • San Joaquin Fever Antibody
  • Valley Fever antibodies
  • Coccidioides immitis
  • Coccidioidomycosis
  • Valley Fever
  • LAB123232

ARUP Test Code

0050170
Specimen

Collect

Serum separator tube (SST).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP standard transport tube. (Min: 0.6 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens..

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Other body fluids. Contaminated, hemolyzed, icteric, or lipemic specimens.

Stability (from collection to initiation)

Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Remarks

Mark specimens plainly as "acute" or "convalescent."
Interpretive

Reference Interval

Less than 1:2

Interpretive Data

A titer of 1:2 or greater suggests past or current infection. However, greater than 30 percent of cases with chronic residual pulmonary disease have negative complement fixation (CF) tests. Titers of less than 1:32 (even as low as 1:2) may indicate past infection or self-limited disease; anticoccidioidal CF antibody titers in excess of 1:16 may indicate disseminated infection. CF serology may be used to follow therapy. Antibody in CSF is considered diagnostic for coccidioidal meningitis, although 10 percent of patients with coccidioidal meningitis will not have antibody in CSF.

Coding

CPT Codes

86635

Billable SIM Number(s)

3058663501

LOINC

  • 33380-7