Read Also: If You Test Positive For Chlamydia. Chlamydia trachomatis and Neisseria gonorrhoeae (CTNG) by Transcription-Mediated Amplification (TMA) with Reflex to CT/NG Confirmation 2011164 Copy Utility Click to copy Test Number / Name Choose the Right Test ARUP Consult assists with test selection and interpretation Sexually Transmitted Infections Go to ARUP Consult Example Reports Negative Patient self-collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. 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, Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by nucleic acid amplification technology. Retrieve ThinPrep vials that are to have aliquots removed. 30 days (stability provided by manufacturer or literature reference). WebCPT Code.CPT Description.CPT Disclaimer. In order to minimize the potential for cross contamination, aliquot removal should be performed in an appropriate location outside an area where amplification is performed.. 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. Transfer 1 mL serum or plasma to a Standard Transport Tube. People at risk of getting chlamydia need to be tested, regularly. 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. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. In some cases, additional time should be Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. Tightly screw on the cap. 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/. 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. Testing schedules may vary. Testing schedules may vary. LabCorp Test #: 377036, CPT: 81001. CPT Code: 87491, 87591 Panel Includes: Trichomoniasis is an infection caused by parasites, which will be found in the urine of infected individuals. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. CPT Disclaimer. 26 recently purchased Test Code: 183194. 1. Refer to Chlamydia trachomatis by Transcription-Medicated Amplification (TMA) (ARUP test code 0060243). Some of the assays in this panel have not been FDA cleared or approved for the screening of blood or plasma donors, nor have assay performance characteristics been established for immunocompromised or immunosuppressed patients, cord blood, or patients less than 2 years of age. Wipe down work surfaces and pipettors with 1:1 bleach:water solution. Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . Urine Specimen Collection and Handling 1. Withdraw the swab without touching the skin. CPT Description. Chlamydia is easily treated with antibiotics. The final volume must be between the two black lines on the device (about 2 mL). 2. Tightly screw on the cap. Chlamydia trachomatis / Neisseria gonorrhoeae DNA, SDA Test code (s) 17305 Question 1. Physicians and other persons responsible for ordering clinical tests should be familiar with the following. 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. 2. Maintain specimen at room temperature or refrigerate (2C to 30C). Tests are available to detect chlamydia at home. 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. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Patient should not have urinated for at least 2 hours prior to collection. If youve recently tested positive for chlamydia or gonorrhea, complete the treatment, then test again after 3 months to ensure the treatment was successful. If an NAAT is positive for C trachomatis or N gonorrhoeae 3 or more weeks after the end of treatment,6 first ensure that the patient has complied with the prescribed therapy and that the patient denies having sex after treatment with an untreated or new sex partner. 13. All Rights Reserved. 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 and Research. The assay may be used to test . Washington, DC. 14. Allow bleach to contact work surfaces and pipettors for at least one minute and then follow with a water rinse. A urine culture test detects and identifies bacteria and yeasts in the urine, which may be causing a UTI. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). Reported: 4 days from receipt of the specimen. 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 . It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. The results you trust. Urine must be first-void, not midstream; >60.0 mL will decrease sensitivity of the test. Gently invert the tube two to three times to ensure complete mixing of the specimen. LabCorp uses the following procedure and believes it is consistent with the previous instructions as well as with the amplified assay that will be performed on the specimen to be sent. Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 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. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. CPT coding is the sole responsibility . You can contract this bacterium through having unprotected sex with an infected partner. 6. Although the findings were not statistically significant, positivity appeared to. The final volume must be between the two black lines on the device (about 2 mL). Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Expected Turnaround Time 2 - 3 days It has not been cleared or approved by the US Food and Drug Administration (FDA). Patient should not have urinated for at least 2 hours prior to collection. Browse records in 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. Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests (NAATs)? Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. 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 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. 2023 Laboratory Corporation of America Holdings. 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/. 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. Do not over-rotate the brush. Add urine to the Aptima COMBO 2 urine collection device. Quest Diagnostics offers throat- and anal -based testing: You May Like: Causes Of Chlamydia In Females, Introduction. Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. Recap the Aptima tube tightly. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. As such, they can be run on urine samplesnot just urethral or cervical swabs. In cases of viral STDs, such as HIV/AIDS, HTLV, HPV , hepatitis or genital herpes, labs look for antibodies the immune system makes to attack the invading viruses. Offer. Recap the swab specimen transport tube tightly. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 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. Accessed March 2022. 15. 3. Recap the swab specimen transport tube tightly. Summary and Explanation of the Test . Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. 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. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Cpt Code Description Start Date End Date Max Allowed. Testing schedules may vary. testing to when the result is released to the ordering provider. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. 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. Withdraw the swab carefully; avoid contact with the vaginal mucosa. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Using a pipetting device with an aerosol barrier tip, immediately withdraw a 1 mL aliquot from the ThinPrep vial. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. labcorp drug test discussion in urine testing . Its my Answered by a verified OB GYN Doctor Does a positive leukocyte esterase urine test, in the absence of anything else being positive, indicate gonorrhea or chlamydia? 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. Urine testing is currently primarily used to detect bacterial STIs. Chlamydia trachomatis is a type of gram-negative bacteria that is responsible for causing Chlamydia infection. Loosen the cap on the Aptima tube. Cocollection of separate samples for the ThinPrep Pap Test and STD testing may be considered in lieu of aliquot removal. Kilpatrick SJ, Papile LA, Macones GA, eds. in juliet papa 1010 wins. When present, symptoms may include discharge or painful urination. The final volume must be between the two black lines on the device (about 2 mL). Add urine to the Aptima Combo 2 urine collection device. download here chlamydia gc screening requisition form supply order form of america llc home healthcare supply Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. 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. When doctors screen for gonorrhea, they may also screen for other STDs at the same time. Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. Withdraw the swab carefully. Slowly rotate the brush to turn in one direction. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Chlamydia/Neisseria requires use of a first catch (the initial stream of urine that will wash organisms out of the urethra of men or women). For women, yearly screening is recommended if you are sexually active and younger than age 25, or 25 or older and at increased risk for chlamydia infection when you are pregnant or considering pregnancy. Tightly screw on the cap. 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. 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. All Rights Reserved. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. It also states that women are more prone to be re-infected, if their partner is not getting tested and treated properly. 2. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. Top 3Reference Laboratory Test Catalogs for MiscellaneousLab TestOrders: As of 23 February 2023, NorDx is transitioning to Aptima collection devices for this test. 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. Please note ReproSource is not a Medicare/Medicaid provider. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. Female patients should not cleanse the labial area prior to providing the specimen. (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. This can be done using a process called ligase chain reaction or with other DNA amplification techniques. Chlamydia/Neisseria requires use of a first catch (the initial stream of urine that will wash organisms out of the urethra of men or women). The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. For oral, anal, or rectal sourcessee test code CTGCO. Target amplification nucleic acid probe test that utilizes target capture for qualitative detection and differentiation of ribosomal RNA (rRNA) from Chlamydia trachomatis (CT) and/or Neisseria gonorrhea (GC) One correct swab or urine filled between the two black indicator lines on the tube label. Testing aligns with current guidelines and recommendations. 2023 Laboratory Corporation of America Holdings. Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. testing to when the result is released to the ordering provider. Remove the swab. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. allowed for additional confirmatory or additional reflex tests. Gonorrhea is a sexually transmitted disease caused by the spread of the Neisseria gonorrhoeae bacteria. Tightly screw on the cap. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia . Accessed March 2022. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. When your order from Health Testing Centers there is no need to visit a std clinic, neighborhood health center or public health clinic. 19. CPT Description. Patient Self-Collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. Centers for Disease Control and Prevention (CDC), The American College of Obstetrics and Gynecologists. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Quest; LabCorp; Buy LabCorp: $99.00 . This training should be provided by Hologic. 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. CPT Code (s) Collect Serum Separator Tube (SST) or plain red-top tube Specimen Preparation Separate from cells ASAP or within 2 hours of collection. In some cases, additional time should be As a final step, twirl the brush between the thumb and forefinger vigorously to further release cellular material. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. Yes! 2023 Laboratory Corporation of America Holdings. It is essential in preventing its complications, which could be very drastic, ranging from septicemia and joints infection, to a disseminated gonococcal infection that could infect our heart, brain and spinal cord. This type of test detects the genetic material of Chlamydia trachomatis. Chlamydia, Urine Test Covered tests: Chlamydia trachomatis, NAA ( LabCorp ) Covered components: Chlamydia trachomatis, NAA Blacklisted States: MD, NJ, NY, RI $59.00 $125.50 Order Health Tests Direct Chlamydia/Gonococcus, Nucleic Acid Amplification (NAA) Covered tests: Chlamydia/Gonococcus, NAA ( LabCorp ) Portions 2023 Mayo Foundation for Medical Education and Research. All Rights Reserved. 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/. 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 . 17. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. 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. Withdraw the swab carefully. 2 mL of urine specimen must be transferred into the Aptima Specimen Transport within 24 hours of collection and before being assayed. TEST NAME. Do not touch the soft tip or lay the swab down. Vortex the ThinPrep vial for 8 to 12 seconds at high speed.
