Referral Criteria

Patients with chronic pulmonary aspergillosis (CPA) comprise those with:

• At least one pulmonary cavity on chest imaging with or without a fungal ball (aspergilloma) which has been present for at least 3 months, AND
• a positive Aspergillus species test result by either serology or culture.

The Department of Health will take financial responsibility (through the National Aspergillosis Centre) for those with:

• At least two or more pulmonary cavities on chest imaging, one single unresectable cavity, AND
• symptoms (usually weight loss, fatigue, cough, haemoptysis and breathlessness) for at least 3 months, AND
• serology or cultures indicating Aspergillus species.

Visit the National Commissioning Group at the Department of Health.