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Test Code CPAS Cryptococcus Antigen

Clinical Indications

Test Method: Lateral Flow Assay

Used as aid in diagnosis of cryptococcosis or monitoring antigen in serum

Additional Test Codes

Epic Order Code: Cryptococcus Antigen (aka CPA AG Screen, Serum)
Sunquest Order Code: CPAS
Px Order Code: LAB2175

Specimen Collection Type

Serum
Preferred: Gold top (SST gel separator)
Acceptable: Red top (serum tube)

Allow blood to clot at room temp (18-24°C). Serum should be separated from the clot ASAP to minimize hemolysis.

Minimum Collection Volume

1 mL

Reference Range

Negative

Critical Value

Positive

Interpretation

The presence of cryptococcal antigen is indicative of cryptococcosis. If the initial screen is positive, a titer will be performed.

Titers are reported as the reciprocal, eg, a titer of 1:80 will be reported as 80.

Low level titers (eg, 1:5) may be falsely positive and should be interpreted with caution, particularly in patients without other evidence of cryptococcal infection. This test should not be used to screen asymptomatic patients.

A negative cryptococcal antigen test does not exclude the diagnosis of cryptococcosis.

Low level positive titers may persist for extended periods of time following appropriate therapy and resolution of infection; monitoring titers should not be used as a test of cure or to guide treatment decisions.

Rejection Criteria

Gross hemolysis
Gross lipemia

Specimen Availability for Add-on Testing

N/A

Specimen Stability

7 days at 2-8°C
14 days at -20°C

Day(s) Performed

Monday through Saturday

Performing Lab- Department

TUKHS-BH-Microbiology

CPT Code

86403

LOINC Code

31790-9

Test Alias

N/A

Additional Information / Notes

N/A