Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. 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. 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). The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Patient Self-Collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. 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. . Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Traditionally, NAAT takes a day or more to provide results, but there have also been rapid chlamydia tests developed using NAAT methods. Wipe down work surfaces and pipettors with 1:1 bleach:water solution. 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 I looked up/Googled health codes and 74.5 stands. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. CPT Description. The name you know. 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. 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 CPT coding is the sole responsibility . Add urine to the Aptima Combo 2 urine collection device. There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. Washington, DC. 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. Male urine: Direct patient to provide a first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Patient self-collection instructions: Partially open the package. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 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 Trachomatis And Neisseria Gonorrhoeae Detection - Test Code. 2020. The final volume must be between the two black lines on the device (about 2 mL). Expected Turnaround Time 2 - 3 days Centers for Disease Control and Prevention (CDC), The American College of Obstetrics and Gynecologists. testing to when the result is released to the ordering provider. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal 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. Screening for Chlamydia and Gonorrhea: Recommendation Statement A full range of tests for STI screening and confirmation are available from ACL Laboratories. Physicians and other persons responsible for ordering clinical tests should be familiar with the following. Female patients should NOT cleanse the labial area prior to specimen collection. 2023 Laboratory Corporation of America Holdings. Kilpatrick SJ, Papile LA, Macones GA, eds. PDF Labcorp Drug Test Requisition Form - annualreport.psg.fr Chlamydia/Gonococcus, NAA | LabCorp - Find Lab Tests Online Chlamydia/Neisseria Gonorrhoeae RNA, TMA, Urine Test Code 36341 This test is not available in all locations. Accessed March 2022. Labcorp Test Code For Gonorrhea And Chlamydia Urine If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Put on clean gloves and repeat steps 8 to 18 with subsequent specimens. This makes chlamydia a widespread sexually transmitted disease. 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. This test was developed, and its performance characteristics determined, by LabCorp. Swirl the brush vigorously to release additional material. 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? Please note ReproSource is not a Medicare/Medicaid provider. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. testing to when the result is released to the ordering provider. Discard this swab. 17. Urinalysis Labcorp Test CodeIcon illustration of a check mark. Hepatitis B. CDC website: www.cdc.gov/hepatitis/hbv/index.htm. in juliet papa 1010 wins. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. CPT Code: 87491, 87591. 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. (Min: 0.3 mL) Storage/Transport Temperature Room temperature Unacceptable Conditions Hemolyzed, Icteric, or lipemic specimens 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. CPT Code(s) 87491, 87591, 87661. CPT Code a. Transport and store urine refrigerated. testing to when the result is released to the ordering provider. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Chlamydia/gonococcus Naa With Reflex To Test Code M14 Chlamydia/GC PCR, Urine Important Note. Browse records in 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 . Slowly rotate the brush to turn in one direction. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 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. Sometimes, this may lead to infertility . It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. Withdraw the swab carefully; avoid contact with the vaginal mucosa. 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). 8th edition, September 2017. 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. Note: Specimen collected in Aptima PCR Urine media contain a preservative and are stable for 30 days. If reflex testing is performed, additional charges/CPT code(s) may apply. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. 008128: GC (Neisseria gonorrhoeae) Culture Only | Labcorp 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. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. 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. allowed for additional confirmatory or additional reflex tests. Be sure not to touch the pierceable foil cap of the 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. Chlamydia trachomatis Neisseria gonorrhoeae DNA SDA - Quest Diagnostics Tightly screw on the cap. Specify the exact specimen source/origin (eg, endocervical). 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/. But, only half of these cases are reported to the CDC. CDC website: https://www.cdc.gov/hepatitis/hbv/pdfs/prenatalhbsagtesting_508.pdf. Collect 10-50mL of first portion of random urine into a sterile plastic container. These facilities are private, comfortable and test for diseases other than STDs. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. 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. 2023 Laboratory Corporation of America Holdings. GC testing is indeterminate, a new specimen should be collected. Recap the swab specimen transport tube tightly. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. allowed for additional confirmatory or additional reflex tests. 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. Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests (NAATs)?