CPT Disclaimer. If these conditions are met, treatment is considered to be a failure. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. I looked up/Googled health codes and 74.5 stands. Reference Values: . Recap the swab specimen transport tube tightly. CPT: 87491; 87591 Print Share Include LOINC in print Expected Turnaround Time 2 - 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. As such, health plan access, test ordering, and billing processes may differ from those of Quest Diagnostics. 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. There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. Urine testing is currently primarily used to detect bacterial STIs. Tighten the cap on the ThinPrep container so that the torque line on the cap passes the torque line on the vial. Swirl vigorously in the ThinPrep vial 10 times and discard the spatula. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. 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. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 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. . Collect 10-50mL of first portion of random urine into a sterile plastic container. All Rights Reserved. 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 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. 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. 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/. ChlamidiaExplained.com is a one-stop resource for everything you wanted to know about chlamidia symptoms and treatments. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. 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). (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. Withdraw the swab without touching the skin. 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. Chlamydia A common STI caused by the bacteria, Chlamydia trachomatis. Test Code. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 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. Patient should not have urinated for at least 2 hours prior to collection. Uncap the vial and place it on the work surface with the threads facing up. 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. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. Tightly screw on the cap. 4. Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital Test Code 11363 CPT Code (s) 87491, 87591 CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering. Transfer the specimen to the Aptima urine specimen collection kit if 14 years of age or older Urine Specimen Collection Instructions: 1. Your doctor might order a urine culture if you have symptoms of a UTI, which can . Many people with chlamydia have no symptoms. Test Code M14 Chlamydia/GC PCR, Urine Important Note. Additionally, it is possible to be re-infected with both diseases, so even if youve already been treated for chlamydia or gonorrhea, youre still susceptible to re-acquiring it. 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. Testing schedules may vary. Indicate a specific test number on the test request form. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Serum specimen: Usual blood collection technique. Patient self-collection instructions: Partially open the package. Discard this swab. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. 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. WebCPT Code Description Start Date End Date Max Allowed 87320 Chlamydia trachomatis antigen detection using qualitative multiple step enzyme immunoassay technique 4/1/2022 3/31/2023 $18.00 87490 Chlamydia trachomatis detection by nucleic acid using direct probe technique 4/1/2022 3/31/2023 $30.00 81025 Urine pregnancy test using visual A chlamydia or gonorrhea infection may cause inflammation or scarring of the reproductive organs. 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. Vortex the ThinPrep vial for 8 to 12 seconds at high speed. Chlamydia is one of the most frequently reported sexually transmitted 7060721111 chlamydia trachomatis oral 70607211 chlamydia trachomatis rectal 705756 gc culture . 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 Female patients should not cleanse the labial area prior to providing the specimen. Broom-like collection technique: Obtain a sample from the cervix using a broom-like device by inserting the brush portion into the cervical os and then rotate the brush five times. 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. The chlamydia test can identify bacteria causing this infection. TEST NAME. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. Testing aligns with current guidelines and recommendations. Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. This infection can be spread by either vaginal, anal or oral sex. 1. Rapid chlamydia tests can often provide a result within 30 to 90 minutes. 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? 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 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. Tightly screw on the cap. U.S. Department of Health and Human Service. Sometimes, this may lead to infertility . Female patients should not cleanse the labial area prior to providing the specimen. - GC NGC : 3 x 1.7 mL : Non-infectious . When present, symptoms may include discharge or painful urination. PID sometimes causes your reproductive organs to swell, triggering chronic pelvic pain and making it difficult to conceive. 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. For women, a vaginal sample is recommended in the absence of a pelvic exam. This training should be provided by Hologic. 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/. 2023 Laboratory Corporation of America Holdings. 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. In some cases, additional time should be Contact us: contact@chlamydiaexplained.com, Aptima Urine Collection Kit Collection Procedure Guide, Topic 3: Pap Test and DNA Probes / Cultures, Limitations of CDCs STD Testing Guidelines, What Medication Do You Take For Chlamydia, How Common Is It For Chlamydia To Come Back, Ciprofloxacin For Gonorrhea And Chlamydia, Treatment For Chlamydia And Trichomoniasis, Difference Between Chlamydia And Gonorrhea, Will Chlamydia Show Up In A Urine Culture, When Should You Get Tested For Chlamydia After Treatment, How Fast Can You Get Test Results For Chlamydia, Can You Donate Plasma If You Have Chlamydia, Can Gonorrhea And Chlamydia Be Treated With The Same Antibiotic. 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.. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. This training should be provided by Hologic. 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. 13. Please provide SERVICE AREA INFORMATION to find available tests you can order. Expected Turnaround Time 2 - 3 days For more information, please view the literature below. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Specimen must be collected and transported with test-specific kit (ARUP supply #55224). Store the aliquot in Aptima tube at 15C to 30C for transport to LabCorp. Guidelines for Perinatal Care. 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. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Tests are available to detect chlamydia at home. When doctors screen for gonorrhea, they may also screen for other STDs at the same time. 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. Discard the brush. testing to when the result is released to the ordering provider. To reduce the chance of contaminating other specimens, work with one ThinPrep Liquid Pap specimen at a time. Regular STI testing can help with early diagnosis of the infection, and most people who receive treatment for chlamydia make a full recovery. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. Specimen with incorrect patient identification; unlabeled specimen; inappropriate specimen transport conditions; specimens received after prolonged delay (usually >72 hours); 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 >24 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 nonGen-Probe swab submitted in Aptima transport device; wooden-shaft 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; UTM-RT; SurePath vial, Diagnosis of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infections. Chlamydia cell cultures may be used in children with a suspected chlamydia infection, when evaluating potential infections in the anus or rectum, and when initial treatment for chlamydia is unsuccessful. C. trachomatis; 2. 2 mL of urine specimen must be transferred into the Aptima Specimen Transport within 24 hours of collection and before being assayed. The LabCorp Test Menu is a page at LabCorp. No Chlamydia trachomatis or Neisseria gonorrhoeae detected. Chlamydia/N. Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. Kilpatrick SJ, Papile LA, Macones GA, eds. Chlamydia/Gonococcus Client-provided Aliquot TEST: 186200 CPT: 87491; 87591 Print Share Include LOINC in print Special Instructions Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. 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/. Urine samples must be transported to the laboratory at 4C to 30C within 24 hours of specimen 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. Transport and store urine refrigerated. Remove the swab. Obtain an adequate sample from the ectocervix using a plastic spatula. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. testing to when the result is released to the ordering provider. 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. Female patients should not cleanse the labial area prior to providing the specimen. 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. 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. Female patients should not cleanse the labial area prior to providing the specimen. Carefully insert the swab into the vagina about 2" 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. 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 Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. In some cases, additional time should be Withdraw the swab carefully; avoid contact with the vaginal mucosa. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. 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. 91448. The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Sexually Transmitted Infections: National Strategic Plan for the United States 2021-2025. Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. Slowly rotate the brush to turn in one direction. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. Withdraw the swab carefully. 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. Collect 10-50mL of first portion of random urine into a sterile plastic container. It works differently than a bacterial culture. Both men and women can experience fertility problems after a chlamydia infection. Withdraw the swab carefully; avoid contact with the vaginal mucosa. The results you trust. 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. CPT Code is subject to a Medicare Limited Coverage Policy and may . NAAT is the preferred method for detecting a chlamydia infection. Clinical Significance Recap the swab specimen transport tube tightly. All in on place. CPT Code a. 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. For more information, please contact ReproSource at 1.800.667.8893 or visit ReproSource.com/Contact . Withdraw the swab without touching the skin. 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 Test Code M14 Chlamydia/GC PCR, Urine Important Note. GC testing is indeterminate, a new specimen should be collected. Thats why its so important to get retested after every sexual encounter with new partners. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens.