Female patients should not cleanse the labial area prior to providing the specimen. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Tightly screw on the cap. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. For more information, please view the literature below. 13. The Xpert CT/NG Assay provides qualitative results. If reflex testing is performed, additional charges/CPT code(s) may apply. Patient self-collection instructions: Partially open the package. When opting for concurrent cytologic and STD testing, providers should consider risk and clinical history (eg, disease prevalence, patient age, sexual history, or pregnancy) as well as specimen suitability (ie, exudates of bleeding) that can impact diagnostic reliability.1,2. 11. 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. . CPT coding is the sole responsibility . 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. The final volume must be between the two black lines on the device (about 2 mL). Collect 10-50mL of first portion of random urine into a sterile plastic container. Cpt Code Description Start Date End Date Max Allowed. 3. 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/. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. 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/. Patient self-collection instructions: Partially open the package. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. Add urine to the Aptima COMBO 2 urine collection device. All Rights Reserved. specifically Chlamydia trachomatis and Neisseria gonorrhoeae. If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. If submitting a random urine or 24-hour collection with a total volume of 500 mL, refer to 2,3 Dinor-11Beta-Prostaglandin F2 Alpha, Random Urine ( 3004160 ). Swirl the brush vigorously to release additional material. 20. All Rights Reserved. Chlamydia , Nucleic Acid Amplification (NAA) (Urine) (LabCorp) Same day lab order delivery Share Price: $228.99 Add to cart Patient Instructions Gonorrhoeae, Nucleic Acid Amplification (NAA) (Urine) (LabCorp) Same day lab order delivery Share Price: $228.99 Add to cart Patient Instructions CPT Code 87110: Culture, Chlamydia, any source CPT Code 87270: Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis CPT Code 87320: Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Chlamydia trachomatis Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. The name you know. Carefully dispense the aliquot into the appropriately labeled Aptima tube. 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. Withdraw the swab carefully; avoid contact with the vaginal mucosa. Method: Hologic APTIMA Combo 2 Assay. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Tightly screw on the cap. Hepatitis B. CDC website: www.cdc.gov/hepatitis/hbv/index.htm. 2. CT Equiv (CT invalid)/ GC positive: Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. A complete menu in microbiology, serology, and cytology to meet CGPT Chlamydia/GC Amplified Probe Chlamydia trachomatis, Gonorrhea CGLP Chlamydia/GC Amplified Probe, from ThinPrep vial NAA TVLP Trichomonas Vaginalis from ThinPrep vial TPS. This makes chlamydia a widespread sexually transmitted disease. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. You simply walk in, provide a sample , and walk out. 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. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. The Centers for Disease Control And Prevention state that, every year, 2.8 million Americans get infected with chlamydia. Endocervical swab: Remove excess mucus from the cervical os and surrounding mucosa using the cleaning swab (white-shaft swab in the package with red printing). This test was developed, and its performance characteristics determined, by LabCorp. Tightly screw on the cap. The final volume must be between the two black lines on the device (about 2 mL). 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. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. These types of testing are sensitive to even very small amounts of bacterial DNA. HIV p24 Antigen/Antibody With Reflex to Confirmation [083935] requires a dedicated, unopened, gel-barrier tube or red-top tube sent directly to the testing facility. Test Code CT/GC CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION . Vaginal, endocervical, 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. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. 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. Recap the swab specimen transport tube tightly. Female patients should not cleanse the labial area prior to providing the specimen. Recommended Reading: Treatment For Chlamydia And Trichomoniasis. Add urine to the Aptima Combo 2 urine collection device. Risk factors that impact the frequency of gonorrhea screening include: You May Like: How Common Is It For Chlamydia To Come Back, Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC 183198: Ct/Ng NAA rfx Tv NAA: 188106: Chlamydia by NAA: 43304-5: 183198: Ct/Ng NAA rfx Tv NAA: 188107: Gonococcus by NAA: 43305-2: 183198: Ct/Ng NAA rfx Tv NAA: 183199: Trich vag by NAA Rfx: N/ Vaginal swab: Collect vaginal fluid sample using the Gen-Probe Aptima swab by contacting the swab to the lower third of the vaginal wall and rotating the swab for 10 to 30 seconds to absorb fluid. Hernandez et al 1 studied the effect of five sequential swabs on CT yield using a rapid enzyme immunoassay kit. Chlamydia trachomatis / Neisseria gonorrhoeae DNA, SDA Test code (s) 17305 Question 1. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. Recap the ThinPrep Liquid Pap specimen for Pap smear processing. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. This bacteria can affect rectum, urethra, cervix and other non-genital sites including eyes and lungs. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. Do not over-rotate the brush. labcorp drug test discussion in urine testing . Although much less commonly used, cell cultures can help diagnose a chlamydia infection. Guidelines for Perinatal Care. Tightly screw on the cap. Top 3Reference Laboratory Test Catalogs for MiscellaneousLab TestOrders: As of 23 February 2023, NorDx is transitioning to Aptima collection devices for this test. 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. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 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. Withdraw the swab without touching the skin. Despite the fact that both bacterial infections show similar signs, treatments do differ. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Patient Self-Collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. Withdraw the swab carefully; avoid contact with the vaginal mucosa. 3. Allow bleach to contact work surfaces and pipettors for at least one minute and then follow with a water rinse. Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests (NAATs)? Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. Schillie S, Vellozzi C, Reingold A, et al. Testing Performed: Monday - Saturday; Results in 1-3 days. Testing schedules may vary. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. Clinical Significance Do not touch the soft tip or lay the swab down. CPT: 87491; 87591 Print Share Include LOINC in print Synonyms Chlamydia/Gonococcus, Amplicor PCR Chlamydia/Gonococcus, Aptima TMA Chlamydia/Gonococcus, LCR Test Includes Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by nucleic acid amplification technology Special Instructions Submit one specimen per test requested. Obtain an adequate sample from the ectocervix using a plastic spatula. Gently invert the tube two to three times to ensure complete mixing of the specimen. testing to when the result is released to the ordering provider. In blood tests, such as HIV testing or an HPV test, technicians look for antibodies that the body produces to fight bacteria associated with infection. Gen-Probe Pace transport system; bacterial swab specimen; transport with multiple swabs; specimen received in grossly leaking transport container; specimen submitted in fixative or additives; specimen received in expired transport media or incorrect transport device; inappropriate specimen transport conditions; specimen received after prolonged delay in transport (usually more than 72 hours); swab in transport device; unlabeled specimen or name discrepancy between specimen and request label; prequot specimens with more than 1 mL of PreservCyt added, Detect Chlamydia trachomatis and/or Neisseria gonorrhoeae. Discard the brush. . Do not touch the soft tip or lay the swab down. 2. The Gonorrhea test is essential in screening, diagnosing and evaluating the treatment plan of a gonorrhea infection. Regular STI testing can help with early diagnosis of the infection, and most people who receive treatment for chlamydia make a full recovery. A chlamydia or gonorrhea infection may cause inflammation or scarring of the reproductive organs. Are samples other than genital samples, such as throat and rectal swabs, acceptable for C trachomatis and N gonorrhoeae NAATs? 87491, 87591, 87661. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Patient should not have urinated for at least 2 hours prior to collection. Add urine to the Aptima COMBO 2 urine collection device. 91448. 008128: GC (Neisseria gonorrhoeae) Culture Only | Labcorp Specimen Details LOINC Back to Top GC ( Neisseria gonorrhoeae) Culture Only TEST: 008128 CPT: 87081 Print Share Include LOINC in print Synonyms Neisseria gonorrhoeae Culture Culture for Neisseria gonorrhoeae Only Culture for GC Only Genital Culture (GC) Only Gonorrhea Culture Lab/Phone: 330-543-8576 TAT: 4 hours if specimen is received when test is being run Additional Info: Positive results are called and reported to the Ohio Department of Health (ODH). Dispose of the pipette tip into a biohazard bag containing absorbent material soaked with bleach. 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. Specimen must be collected and transported with test-specific kit (ARUP supply #55224). There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens.

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