Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. No correlation can be drawn between the magnitude of the Ct value and the number of cells in an infected sample Collect the first 20-30 mL of voided urine in a sterile specimen collection cup . Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. 2023 Laboratory Corporation of America Holdings. allowed for additional confirmatory or additional reflex tests. Carefully insert the swab into the vagina about 2" past the introitus and gently rotate the swab for 10 to 30 seconds, making sure the swab touches the walls of the vagina so that moisture is absorbed by the swab. Add urine to the Aptima COMBO 2 urine collection device. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), 86592; 86704; 86706; 86803; 87340; 87389; 87491; 87591, Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Quest; LabCorp; Buy LabCorp: $99.00 . It is also common among African Americans. That involved attempting to grow bacteria out of samples that were taken directly from the cervix or urethra. Withdraw the swab carefully; avoid contact with the vaginal mucosa. allowed for additional confirmatory or additional reflex tests. Trichomoniasis is an infection caused by parasites, which will be found in the urine of infected individuals. RPR with reflex to quantitative RPR and confirmatory Treponema pallidum antibodies; HIV p24 Antigen/Antibody with reflex to confirmation; HBV screening and diagnosis (HBsAg, anti-HBs, HBc-total with reflex to IgM); HCV antibody with reflex to quantitative real-time PCR; Chlamydia trachomatis NAA and Neisseria gonorrhoeae NAA. 91448. testing to when the result is released to the ordering provider. Test code 16505- Chlamydia trachomatis RNA, TMA, Rectal Test code 70048- Chlamydia trachomatis RNA, TMA, Throat Test code 16504- Neisseria gonorrhoeae RNA, TMA, Rectal Test code 70049- Neisseria gonorrhoeae RNA, TMA, Throat Question 1 Which Specimen Types Are Suitable For C Trachomatis And N Gonorrhoeae Nucleic Acid Amplification Tests Recap the swab specimen transport tube tightly. Obtain an adequate sample from the ectocervix using a plastic spatula. In some cases, additional time should be Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection container free of any preservatives. Withdraw the swab without touching the skin. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. Maintain specimen at room temperature or refrigerate (2C to 30C). . Chlamydia/N. CPT Coding 87491 -Chlamydia trachomatis Amplified RNA 87591 -Neisseria gonorrhoeae Amplified RNA 87661 -Trichomonas vaginalis Amplified RNA Test Classification Female urine for CT/GC and male urine for Trich samples: This test has been modified from the manufacturer's instructions. Testing schedules may vary. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Free fact sheets, free STI medications for patients and partner (s) who test positive for Chlamydia, call the Sexual Health Program, 721-7520 (or toll free 1 877 721-7520) For additional information and references, visit SMDHU Sexual Health AIDS & Sexual Health InfoLine, 416-392-2437 Other Resources 17. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Clinical Significance: This assay may be used to test specimens from symptomatic and asymptomatic individuals to aid in the diagnosis of gonococcal and/or chlamydial urogenital disease. Chlamydia/Gonococcus Client-provided Aliquot TEST: 186200 CPT: 87491; 87591 Print Share Include LOINC in print Special Instructions Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. Recap the swab specimen transport tube tightly. The Gonorrhea test is essential in screening, diagnosing and evaluating the treatment plan of a gonorrhea infection. Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. CPT Code(s): 87491; 87591; Specimen Requirements: . If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima Vaginal Swab Specimen Collection Kit. Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC 724344: Cadmium Std Profile, Blood/Ur: 085340: Cadmium, Blood: ug/L: 5609-3: 724344: Cadmium Std Profile, Blood/Ur: 072713: Cadmium, Urine: ug/L: 21130. Read Also: Over The Counter Drugs For Chlamydia, Labcorps test menu provides a comprehensive list of specialty and general laboratory testing services. Patient self-collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. Browse our menu of tests. Please note ReproSource is not a Medicare/Medicaid provider. 2. Expected Turnaround Time 2 - 3 days Vaginal swab: Care provider specimen: Collect vaginal fluid sample using the Gen-Probe Aptima vaginal swab kit by contacting the swab to the lower third of the vaginal wall and rotating the swab for 10 to 30 seconds to absorb fluid. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity; lesser volumes may not adequately rinse organisms into the specimen. All Rights Reserved. Discard this swab. For men, yearly screening is recommended if you are a man who has sex with men. Withdraw the swab carefully; avoid contact with the vaginal mucosa. In such cases, the CDC recommends contacting the local or state health department to get guidance and to arrange for antimicrobial susceptibility testing.7, You May Like: Do Uti Antibiotics Cure Chlamydia, Recommended Reading: Difference Between Chlamydia And Gonorrhea. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Washington, DC. Retrieve ThinPrep vials that are to have aliquots removed. This policy describes reimbursement for Infectious agent detection by nucleic acid (DNA or RNA) assays for the detection of Sexually Transmitted Infections (STI), represented by CPT codes 87491, 87591, 87661, or 87801, and submitted for reimbursement on professional and facility claim forms. CPT Disclaimer. 8. Instead of trying to grow bacteria, these tests just look for bacterial DNA. testing to when the result is released to the ordering provider. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity; lesser volumes may not adequately rinse organisms into the specimen. But, only half of these cases are reported to the CDC. There are several types of tests that can be used to detect chlamydia, including molecular testing, also called Nucleic Acid Amplification Test , and cell culture. Chlamydia is easily treated with antibiotics. Add urine to the Aptima Combo 2 urine collection device. Discard this swab. Microbiology Specimen Collection and Transport Guide, PreservCyt fluid (removed prior to processing of the vial on the ThinPrep processor) placed in the Gen-Probe Aptima swab transport tube, 1 mL; although up to 4 mL may be removed from the ThinPrep vial, only 1 mL of PreservCyt will be placed in the transport device, Gen-Probe Aptima swab transport or Gen-Probe Aptima specimen transfer kit with 1 mL of PreservCyt fluid (do not use swabs provided with Aptima kit), ThinPrep preservative vial processing: ThinPrep instructions for removal of material are specifically listed in the ThinPrep 2000 and ThinPrep 3000 System Operator's manual Addenda. For women, a vaginal sample is recommended in the absence of a pelvic exam. 1. Note: For testing, aliquots must be transferred to Aptima specimen transport tubes or Aptima Unisex specimen transport tubes (both referred to as Aptima tube in the following procedure) from ThinPrep vials within seven days of specimen collection when ThinPrep vials are stored at 15C to 30C. As with any subsampling step in anatomic pathology, chance misallocation of diagnostic cells may occur if they are very rare. Chlamydia trachomatis and Neisseria gonorrhoeae infections should be diagnosed by using nucleic acid amplification tests (NAATs) because their sensitivity and specificity are high and they are. Test Code: GCAT, CHAT, GCCAT (Battery for both tests) CPT 4 Code: 87491 (Chlamydia) 87591 (GC) Specimen Requirements: Urine: First catch urine (approximately 20 to 30 ml of initial urine stream) into urine collection cup free of any preservatives. Cover the bench with clean, plastic-backed absorbent laboratory bench covers. 15. Collect 10-50mL of first portion of random urine into a sterile plastic container. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. The LabCorp Test Menu is a page at LabCorp. Dispose of the pipette tip into a biohazard bag containing absorbent material soaked with bleach. As a final step, twirl the brush between the thumb and forefinger vigorously to further release cellular material. U.S. Preventive Services Task Force: Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement. Direct patient to provide a first-catch urine (approximately 20 to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 5. 10. Carefully insert the swab into the vagina about two inches past the introitus and gently rotate the swab for 10 to 30 seconds, making sure the swab touches the walls of the vagina so that moisture is absorbed by the swab. These instructions include the following statement. The purpose of gonorrhea testing is to detect a gonorrhea infection. This training should be provided by Hologic. ThinPrep 2000 System Operator's Manual Addendum, 70983-001-B001 Rev A. Specimen with incorrect patient identification; unlabeled specimen; inappropriate specimen transport conditions; specimen leaked in transit; specimen in expired transport or incorrect transport device; specimens with inappropriate source for test requested; specimen with fixative or additives; APTIMA urine transport >30 days from collection; APTIMA urine transport with incorrect specimen volume; <15 mL urine submitted in sterile container; receipt of urine in sterile container >72 hours from collection; APTIMA swab transport >60 days from collection; APTIMA swab specimens with incorrect specimen volume; APTIMA swab specimen without a swab; cleaning swab (white-shaft swab) in APTIMA swab transport; any non-Gen-Probe swab submitted in APTIMA transport device; wooden-shafted swab in transport device; transport device with multiple swabs; female urethral swab; bloody or grossly mucoid specimens; bacterial swabs; specimen in ProbeTec UPT transport; ProbeTec Q-swabs; BD ProbeTec ET male urethral swab; swab specimen in universal transport media or viral transport media; SurePath vial, Detect Chlamydia trachomatis and Neisseria gonorrhoeae. Discard the collection device. 16. Enhancing Outcomes: Universal Screening for Chlamydia and Gonorrhea, Microbiology Specimen Collection and Transport Guide, Protect Your Patients From the Consequences of Untreated Chlamydia, Gonorrhea, and Trichomonas: Easily Detected and Easily Treated, The Most Accurate Results Come From the Best Specimens, Trichomonas vaginalis: Detect More Infections With Nucleic Acid Amplification, Endocervical, vaginal, or male urethral swab; first-void urine (patient should not have urinated for one hour prior to specimen collection); or cervical cells in liquid cytology vial, One swab (endocervical, vaginal, or urethral), 2 mL of a 20 mL to 30 mL urine collection, or entire liquid cytology vial, One swab (endocervical, vaginal, or urethral), 2 mL of a 15 mL urine collection, or entire liquid cytology vial, Gen-Probe Aptima swab or Aptima urine specimen transport; ThinPrep liquid cytology vial, Option 1: Gen-Probe Aptima Endocervical, Male Urethral, or Vaginal Swab. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 2023 Laboratory Corporation of America Holdings. Screening and Referral Algorithm for Hepatitis B Virus (HBV) Infection Among Pregnant Women. Because many people who are infected with gonorrhea do not have any noticeable symptoms, a number of health organizations recommend regular gonorrhea screening for certain adolescents and adults between the ages of 15 and 65, including. Even better, they do not require a live bacterial sample. Transfer the specimen to the Aptima urine specimen collection kit if 14 years of age or older Urine Specimen Collection Instructions: 1. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. There are few studies that have evaluated the effect of swab order on the performance of diagnostic tests to detect Chlamydia trachomatis and Neisseria gonorrhoeae in women. If reflex testing is performed, additional charges/CPT code(s) may apply. 9. Hemolysis; lipemia; received outside of specimen and/or storage and/or labeling requirements; aliquot received for HIV testing; specimen in expired transport or incorrect transport device; specimens with inappropriate source for test requested; Aptima urine transport >30 days from collection; Aptima urine transport with incorrect specimen volume; Aptima swab transport >60 days from collection; Aptima swab specimen without a swab; cleaning swab (white-shaft swab) in Aptima swab transport; Aptima transport device with multiple swabs. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. CPT Code: 87491, 87591 Panel Includes: Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . If negative results from the specimen do not fit with the clinical impression, a new specimen may be necessary. Withdraw the swab without touching the skin. Recap the Aptima tube tightly. - GC NGC : 3 x 1.7 mL : Non-infectious . You simply walk in, provide a sample , and walk out. Loosen the cap on the Aptima tube. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Do not touch the soft tip or lay the swab down. People at risk of getting chlamydia need to be tested, regularly. Transport and store urine refrigerated. LABORATORY SCREENING. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Reference Values: . labcorp urine test forum drugs com May 8th, 2019 - I will be taking a pre employment urine test and I was just wondering what substances Labcorp tests for in their 5 panel and 10 panel urine tests i do not know which one i will be having to take so i was just wondering also is there other urine tests other than the 5 and 10 panel 8th edition, September 2017. CPT Code is subject to a Medicare Limited Coverage Policy and may . Using a pipetting device with an aerosol barrier tip, immediately withdraw a 1 mL aliquot from the ThinPrep vial. Accessed March 2022. Chlamydia/gonococcus Naa With Reflex To Test Code M14 Chlamydia/GC PCR, Urine Important Note. Portions 2023 Mayo Foundation for Medical Education and Research. This bacterial infection is mostly common among young adults who are sexually active. The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. Browse records in Chlamydia cell cultures may be used in children with a suspected chlamydia infection, when evaluating potential infections in the anus or rectum, and when initial treatment for chlamydia is unsuccessful. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. It can be performed using a urine sample or swab of fluid taken from a site of potential infection such as the urethra, vagina, rectum, or eye. 2. Carefully insert the swab into the vagina about two inches past the introitus and gently rotate the swab for 10 to 30 seconds, making sure the swab touches the walls of the vagina so that moisture is absorbed by the swab. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia trachomatis, Amplified Probe Technique : CHLAMYDIA AND GC DNA URINE; CHLAMYDIA AND GC NON-CERVICAL; Portions 2023 Mayo Foundation for Medical Education . Patient should not have urinated for at least 2 hours prior to collection. Although the clinical significance of oropharyngeal C trachomatis infection is unclear and routine oropharyngeal screening for CT is not recommended, available evidence suggests oropharyngeal C trachomatis can be sexually transmitted to genital sites therefore, per the 2015 guidelines on sexually transmitted diseases, oropharyngeal C trachomatis should be treated with appropriate antimicrobials.4. One swab, 2 mL of a 20 mL to 30 mL urine collection, or entire liquid cytology vial, Gen-Probe Aptima swab or Aptima urine specimen transport; ThinPrep liquid cytology vial. female and male urine specimens. Carefully break the swab shaft at the scoreline; use care to avoid splashing of contents. Kilpatrick SJ, Papile LA, Macones GA, eds. Rectal and throat swabs are acceptable for C trachomatis and N gonorrhoeae NAAT testing. Chlamydia trachomatis is a type of gram-negative bacteria that is responsible for causing Chlamydia infection. 12. LABupdate: Candida Species Identification by NAA, Microbiology Specimen Collection and Transport Guide, Patient Information: Chlamydia, Gonorrhea, and Trichomoniasis, Protect Your Patients From the Consequences of Untreated Chlamydia, Gonorrhea, and Trichomonas: Easily Detected and Easily Treated, Trichomonas vaginalis: Detect More Infections With Nucleic Acid Amplification. This panel provides an assessment of sexual health by screening for three common sexually transmitted infections : For your urine test, its best not to urinate for two hours before your sample collection urinating within this period could affect the accuracy of your results. WebCPT Code. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Chlamydia A common STI caused by the bacteria, Chlamydia trachomatis. Recommended Reading: Ciprofloxacin For Gonorrhea And Chlamydia. To reduce the chance of contaminating other specimens, work with one ThinPrep Liquid Pap specimen at a time. Gently invert the tube two to three times to ensure complete mixing of the specimen. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Refer to Chlamydia trachomatis by Transcription-Medicated Amplification (TMA) (ARUP test code 0060243). WebCPT Code.CPT Description.CPT Disclaimer. The FDA has determined that such clearance or approval is not necessary. To easily check for chlamydia from the comfort of home, simply collect a urine sample and send it to a lab with prepaid shipping using the Everlywell at-home Gonorrhea and Chlamydia test kit. See test code CT/GC for genital sources. When doctors screen for gonorrhea, they may also screen for other STDs at the same time. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. ThinPrep 3000 System Operator's Manual Addendum, 70557-001-B001 Rev A. See test code CTGCU for urine sources and CTGCO for non-FDA approved sources (oral, anal, or rectal swabs).

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