CPT Code a. Direct the patient to collect the first 15 50 mL of the initial urine stream in the cup provided On a LabCorp bill, does Chlamydia/GC Amplification mean the presence of Chlamydia or a test for it? Your risk of infertility increases if you delay treatment. 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/. Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. You should get tested for STDs, including chlamydia and gonorrhea, before and after every sexual encounter with new partners. 11. . Female patients should not cleanse the labial area prior to providing the specimen. Top 3Reference Laboratory Test Catalogs for MiscellaneousLab TestOrders: As of 23 February 2023, NorDx is transitioning to Aptima collection devices for this test. If negative results from the specimen do not fit with the clinical impression, a new specimen may be necessary. Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. female and male urine specimens. Discard this 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. 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. CPT Description. Withdraw the swab carefully; avoid contact with the vaginal mucosa. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. Chlamydia/Gonococcus/Mycoplasma genitalium, NAA, Urine TEST: 180049 CPT: 87491; 87563; 87591 Print Share Include LOINC in print Expected Turnaround Time 3 - 4 days Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. Withdraw the swab carefully; avoid contact with the vaginal mucosa. Chlamydia A common STI caused by the bacteria, Chlamydia trachomatis. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. You simply walk in, provide a sample , and walk out. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Recap the swab specimen transport tube tightly. Dispose of the pipette tip into a biohazard bag containing absorbent material soaked with bleach. Washington, DC. Summary and Explanation of the Test . Testing schedules may vary. 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. The Gonorrhea test is essential in screening, diagnosing and evaluating the treatment plan of a gonorrhea infection. Female patients should not cleanse the labial area prior to providing the specimen. This bacteria can affect rectum, urethra, cervix and other non-genital sites including eyes and lungs. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. 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 specifically Chlamydia trachomatis and Neisseria gonorrhoeae. Good laboratory practices should be followed to avoid introducing contaminants into either the PreservCyt sample vial (ThinPrep vial) or the aliquot. 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. Browse records in Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. 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. This type of test detects the genetic material of Chlamydia trachomatis. Caution: The desired aliquot must be removed immediately after vortexing the vial to ensure homogeneity of the sample. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. All Rights Reserved. WebCPT Code. 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 Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 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. In the specimen transfer area, place a test tube rack containing a sufficient number of Aptima tubes to the number of ThinPrep Pap specimens being tested for Ct/Ng. Recap the swab specimen transport tube tightly. Swirl vigorously in the ThinPrep vial 10 times and discard the spatula. Do not over-rotate the brush. APTIMA Urine Collection Device Supply: A01 - APTIMA Urine Collection Test Code: 11636, CT/NG 19550 (X), SureSwab Trichomonas vaginalis Patient should not have urinated for at least 1 hour prior to specimen collection. These types of testing are sensitive to even very small amounts of bacterial DNA. CPT Code(s) 87491, 87591, 87661. Testing schedules may vary. The final volume must be between the two black lines on the device (about 2 mL). The patient should not have urinated for at least one hour prior to specimen collection. Cpt Code Description Start Date End Date Max Allowed. 13. Tightly screw on the cap. Mycoplasma genitalium. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Withdraw the swab carefully. 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. Centers for Disease Control and Prevention (CDC), The American College of Obstetrics and Gynecologists. Submit one specimen per test requested. Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. This bacterial infection is mostly common among young adults who are sexually active. The assay may be used to test . 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. 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 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. Loosen the cap on the Aptima tube. Recap the ThinPrep Liquid Pap specimen for Pap smear processing. 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 . Sexually Transmitted Infections: National Strategic Plan for the United States 2021-2025. 5. When present, symptoms may include discharge or painful urination. 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. (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. Slowly rotate the brush to turn in one direction. Remove the swab. Trichomoniasis is an infection caused by parasites, which will be found in the urine of infected individuals. allowed for additional confirmatory or additional reflex tests. It has not been cleared or approved by the US Food and Drug Administration (FDA). Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. 2023 Laboratory Corporation of America Holdings. 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. Discard this swab. 91448. Rapid chlamydia tests are typically performed on urine samples or swabs of fluid taken from the vagina or cervix. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. Withdraw the swab without touching the skin. 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. 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. Chlamydia/N. 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/. Label each Aptima tube with the appropriate specimen label. 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). Withdraw the swab carefully. 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. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. Guidelines for Perinatal Care. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Learning more about the different types of STDs someone can getlike chlamydiacan help you care for your sexual health. Aliquots must be transferred to the Aptima tube within seven days of collection. The results you trust. 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 Patient self-collection instructions: Partially open the package. The purpose of gonorrhea testing is to detect a gonorrhea infection. Test Code M14 Chlamydia/GC PCR, Urine Important Note. When you have symptoms of chlamydia, such as pain during urination, vaginal discharge and abdominal pain or unusual discharge from the penis, pain on urination or painful, swollen testicles, Having an STD in the past or a sex partner recently treated for an STD. CPT Code. 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. 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. Method: Hologic APTIMA Combo 2 Assay. Add urine to the Aptima COMBO 2 urine collection device. For more information, please view the literature below. Tests are available to detect chlamydia at home. Browse our menu of tests. If not diagnosed and treated, it can cause severe health problems. 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. In some cases, additional time should be