testing to when the result is released to the ordering provider. 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 Refer to Chlamydia trachomatis by Transcription-Medicated Amplification (TMA) (ARUP test code 0060243). contract: oklahoma department of health 706222 hiv-1 antibody confirmation by western blot 706317 hiv-1 naa 706219 hiv-1 quanlitative rn, Read Also: How Do I Know I Have Chlamydia Female. 2. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia . CPT Code(s) 87491, 87591, 87661. 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. 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. For men, first-catch urine is the recommended. 16. These days, bacterial DNA testing is considered a better option. Do not over-rotate the brush. 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. Are samples other than genital samples, such as throat and rectal swabs, acceptable for C trachomatis and N gonorrhoeae NAATs? The Xpert CT/NG Assay provides qualitative results. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. Ordering Restrictions may apply. Urine contains low levels of microbes, such as bacteria or yeasts, which move from the skin into the urinary tract and grow and multiply, causing a UTI. For more information, please contact ReproSource at 1.800.667.8893 or visit ReproSource.com/Contact . Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Maintain specimen at room temperature or refrigerate (2C to 30C). Kilpatrick SJ, Papile LA, Macones GA, eds. In some cases, additional time should be 2. CPT Code (s): 87481 (x 2), 87491, 87591, 87661, 87798 (x 3) Collection Procedure: Vaginal Swab: Collect a vaginal fluid sample using a 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. The final volume must be between the two black lines on the device (about 2 mL). Recap the swab specimen transport tube tightly. The labs that we utilize are the same that your doctor would send you to test for various other issues such as allergies or cholesterol. Female patients should NOT cleanse the labial area prior to specimen collection. Testing aligns with current guidelines and recommendations. When present, symptoms may include discharge or painful urination. TEST CODE. . Test code 70048- Chlamydia trachomatis RNA, TMA, Throat Test code 16504- Neisseria gonorrhoeae RNA, TMA, Rectal Test code 70049- Neisseria gonorrhoeae RNA, TMA, Throat You May Like: Causes Of Chlamydia In Females Urine Testing Vs Bacterial Culture Urine testing is currently primarily used to detect bacterial STIs. Aliquots must be transferred to the Aptima tube within seven days of collection. 18. 10. 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. 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. 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. 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. It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. ThinPrep 3000 System Operator's Manual Addendum, 70557-001-B001 Rev A. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Trichomoniasis is an infection caused by parasites, which will be found in the urine of infected individuals. Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. Chlamydia is a very common sexually transmitted disease. 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. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens. Rapid chlamydia tests can often provide a result within 30 to 90 minutes. Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests ? If reflex testing is performed, additional charges/CPT code(s) may apply. Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. 91448. Carefully break the swab shaft at the scoreline; use care to avoid splashing of contents. 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. Withdraw the swab carefully. Female patients should not cleanse the labial area prior to providing the specimen. 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. Tightly screw on the cap. Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. WebCPT Code.CPT Description.CPT Disclaimer. Portions 2023 Mayo Foundation for Medical Education and Research. Testing schedules may vary. What is CPT code for urine STD testing? 4. This can be done using a process called ligase chain reaction or with other DNA amplification techniques. 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. The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. 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/. 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. It is recommended to ask all patients who may be indicated for this test about biotin supplementation. Remove the swab. 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. 183160: Chlamydia trachomatis,Neisseria gonorrhoeae, and Trichomonas vaginalis, NAA | Labcorp Specimen Details LOINC Back to Top Chlamydia trachomatis,Neisseria gonorrhoeae, and Trichomonas vaginalis, NAA TEST: 183160 CPT: 87491; 87591; 87661 Print Share Include LOINC in print Synonyms Chlamydia/Gonococcus, PCR Trichomonas, PCR This infection can be spread by either vaginal, anal or oral sex. Patient should not have urinated for at least 2 hours prior to collection. Female patients should not cleanse the labial area prior to providing the specimen. Women with untreated gonorrhea or chlamydia can also develop a condition known as pelvic inflammatory disease . People at risk of getting chlamydia need to be tested, regularly. You should not use serological pipettes. 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). As such, they can be run on urine samplesnot just urethral or cervical swabs. Swirl vigorously in the ThinPrep vial 10 times and discard the spatula. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. Thats why its so important to get retested after every sexual encounter with new partners. Aliquot removal may leave insufficient material in the PreservCyt sample vial for performance of ancillary testing (ie, reflexive HPV testing) using the residual specimen following preparation of a ThinPrep Pap Test. Carefully dispense the aliquot into the appropriately labeled Aptima tube. U.S. Preventive Services Task Force: Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement. Rinse the collection device in the PreservCyt solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. The Centers for Disease Control And Prevention state that, every year, 2.8 million Americans get infected with chlamydia. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. Testing schedules may vary. Tightly screw on the cap. 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. 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 1. Tightly screw on the cap. NOTE: if Aptima PCR Urine Sample Packet is not available transport urine in sterile container refrigerated and lab staff will aliquot into Aptima yellow label tube. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Test Code CT/GC CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION . Screen for and diagnose sexually transmitted infections and blood borne pathogens including syphilis, hepatitis B virus (HBV), hepatitis C virus (HCV), HIV, Chlamydia trachomatis, and Neisseria gonorrhoeae. This test was developed, and its performance characteristics determined, by LabCorp. Tightly screw on the cap. Hepatitis B. CDC website: www.cdc.gov/hepatitis/hbv/index.htm. 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). Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. Vortex the ThinPrep vial for 8 to 12 seconds at high speed. Tests are available to detect chlamydia at home. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial - Diagnosis of the three most common sexually transmitted infections. Please provide SERVICE AREA INFORMATION to find available tests you can order. Wipe down work surfaces and pipettors with 1:1 bleach:water solution. Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account or to find available tests you can order. Do not touch the soft tip or lay the swab down. 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. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. These include young people who are sexually active, gay, bisexual, and men who have sex with men. Chlamydia/Neisseria Gonorrhoeae RNA, TMA, Urine Test Code 36341 This test is not available in all locations. CPT Disclaimer. Add urine to the Aptima Combo 2 urine collection device. For oral, anal, or rectal sourcessee test code CTGCO. In these cases of treatment failure, doctors may use a cell culture to help understand which treatments may be most effective for an individuals infection. testing to when the result is released to the ordering provider. The final volume must be between the two black lines on the device (about 2 mL). The Xpert CT/NG Assay provides qualitative results. 2023 Laboratory Corporation of America Holdings. Clinical Significance Withdraw the swab carefully; avoid contact with the vaginal mucosa. Chlamydia trachomatis is a type of gram-negative bacteria that is responsible for causing Chlamydia infection. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. Transfer 1 mL serum or plasma to a Standard Transport Tube. Recap the swab specimen transport tube tightly. 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. CPT Disclaimer. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. Store in a specimen transport tube at 2C to 30 . The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. CT Equiv (CT invalid)/ GC positive: Urine must be first-void, not midstream; >60.0 mL will decrease sensitivity of the test. Cpt Code For Gc Chlamydia Urine Test Labcorp. 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/. Accessed March 2022 at https://www.hhs.gov/sites/default/files/STI-National-Strategic-Plan-2021-2025.pdf. Withdraw the swab without touching the skin. Caution: The desired aliquot must be removed immediately after vortexing the vial to ensure homogeneity of the sample. CPT Code: 80074 Order Code: 10306 Includes: Hepatitis A IgM Antibody Hepatitis B Surface Antigen with Reflex to Confirmation Hepatitis B Core Antibody (IgM) Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR Transport and store urine refrigerated. Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. Patient self-collection instructions: Partially open the package. For bacterial infections, such as gonorrhea, syphilis or Chlamydia, those indicators would be bacteria in urine samples. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. If youve been in a long-term, monogamous sexual relationship the same partner, you should still test for STDs once a year. CPT Code. See test code CT/GC for genital sources. Chlamydia Trachomatis And Neisseria Gonorrhoeae Detection - Test Code. Vaginal swab collection: 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, rotating the swab for 10 to 30 seconds to absorb the fluid. Transfer the specimen to the Aptima urine specimen collection kit if 14 years of age or older Urine Specimen Collection Instructions: 1. Reference Values: . 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 ). Infected women report abnormal vaginal discharges, bleeding between periods, pain during period, when urinating and while having sex, as well as itching and burning around the area of the vagina. When your order from Health Testing Centers there is no need to visit a std clinic, neighborhood health center or public health clinic. Summary and Explanation of the Test . You can contract this bacterium through having unprotected sex with an infected partner. Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Label each Aptima tube with the appropriate specimen label. For most people, the thought of getting a gonorrhea urine test or chlamydia urine test is a lot less intimidating than the thought of needing a physical exam. (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. Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Uncap the vial and place it on the work surface with the threads facing up. Obtain an adequate sample from the ectocervix using a plastic spatula. 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 ) Most persons with C trachomatis detected at oropharyngeal sites do not have oropharyngeal symptoms. You simply walk in, provide a sample , and walk out. A urine culture test detects and identifies bacteria and yeasts in the urine, which may be causing a UTI. Men, on the other hand, may show symptoms like pain and swelling of the testicles, painful urination, and burning, itching and cloudy discharges at the tip of the penis. Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . Tighten the cap on the ThinPrep container so that the torque line on the cap passes the torque line on the vial. For women, a vaginal sample is recommended in the absence of a pelvic exam. Mycoplasma genitalium. 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. 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. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. 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. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. Specify the exact specimen source/origin (eg, endocervical). Screening and Referral Algorithm for Hepatitis B Virus (HBV) Infection Among Pregnant Women. 7. 8th edition, September 2017. 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. The final volume must be between the two black lines on the device (about 2 mL). Testing schedules may vary. If an at-home chlamydia test returns positive results, a doctor may suggest confirmation testing with a laboratory-based method. If these conditions are met, treatment is considered to be a failure. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Note: Specimen collected in Aptima PCR Urine media contain a preservative and are stable for 30 days. Remember that prior to processing for Pap smear in the ThinPrep instrumentation, a volume of PreservCyt equal to that removed for testing must be added back to the vial. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. Tightly screw on the cap, Amphetamine Confirmation, Ur Amylase, Body Fluid Anabolic Steroid Screen Analyze 20-25 cells ANCA Panel Androstenedione LCMS Chlamydia trachomatis, NAA Chlamydia/GC Amplification Chromogranin A Chromosome Analysis, BM Chromosome, Leukemic Blood Chromosomes Leuk/Lymph.
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