Browse records in 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). 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. 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. 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. Wipe down work surfaces and pipettors with 1:1 bleach:water solution. The patient should not have urinated for at least one hour prior to specimen collection. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. 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/Neisseria Gonorrhoeae RNA, TMA, Urine Test Code 36341 This test is not available in all locations. 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. Patient self-collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. 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. It is essential to have an early screening and diagnosis for both infections and, take the full course of prescribed antibiotics. For women, a vaginal sample is recommended in the absence of a pelvic exam. Testing Performed: Monday - Saturday; Results in 1-3 days. 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. 8th edition, September 2017. ChlamidiaExplained.com is a one-stop resource for everything you wanted to know about chlamidia symptoms and treatments. 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. 9. allowed for additional confirmatory or additional reflex tests. Tightly screw on the cap. The chlamydia test can identify bacteria causing this infection. It works differently than a bacterial culture. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. 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 Good laboratory practices should be followed to avoid introducing contaminants into either the PreservCyt sample vial (ThinPrep vial) or the aliquot. Uncap the Aptima tube and retain the cap in your hand. Because cytology/HPV testing and STD testing address different clinical questions, aliquot removal may not be suitable for all clinical situations. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. All Rights Reserved. Withdraw the swab without touching the skin. 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. The results you trust. 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. 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. Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. testing to when the result is released to the ordering provider. by. Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. These types of testing are sensitive to even very small amounts of bacterial DNA. In some cases, additional time should be 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. There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. WebCPT Code. For oral, anal, or rectal sourcessee test code CTGCO. Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. LABORATORY SCREENING. Withdraw the swab carefully. As such, health plan access, test ordering, and billing processes may differ from those of Quest Diagnostics. NorDx Respiratory Panel Quick Guide (non MidCoast), NorDx Respiratory Panel Quick Guide (MidCoast only), 2022 Acceptable Tan Top Usage for Hematology, 2022 Acceptable Alternate Tube Types for Chemistry, 2019 Scarborough NorDx Urine Toxicology Guide, Tick-Bourne Disease Pathogen Testing Information, Individually Orderable IGE Allergens Chart with Test Codes, Biotin Interference Thresholds--Scarborough site, Biotin Interference Thresholds--non-Scarborough sites, Laboratory Corporation of America (LabCorp) Test Menu, Critical Laboratory Values - Scarborough & MMC, Critical Laboratory Values - Mid Coast Hospital, CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION, Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia trachomatis, Amplified Probe Technique, Infectious Agent Detection by Nucleic Acid (DNA or RNA), Neisseria gonorrhoeae, Amplified Probe Technique. 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 Chlamydia and gonorrhea urine tests are widely available. 2023 Laboratory Corporation of America Holdings. Tightly screw on the cap. Submit one specimen per test requested. CT Equiv (CT invalid)/ GC positive: It has not been cleared or approved by the US Food and Drug Administration (FDA). TEST NAME. As such, they can be run on urine samplesnot just urethral or cervical swabs. 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. Add urine to the Aptima Combo 2 urine collection device. If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. 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. Clinical Significance: This assay may be used to test specimens from symptomatic and asymptomatic individuals to aid in the diagnosis of gonococcal and/or chlamydial urogenital disease. LabCorp Test #: 377036, CPT: 81001. Serum specimen: Usual blood collection technique. You become infected with it, by having unprotected sex with a person who has the bacterium chlamydia trachomatis. Do not over-rotate the brush. CPT Description. Chlamydia/gonococcus Naa With Reflex To Test Code M14 Chlamydia/GC PCR, Urine Important Note. (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. Nucleic acid amplification testing is recommended for detection of Chlamydia trachomatis from endocervical or urethral specimens. You should not use serological pipettes. Trichomoniasis urine tests are also available, but they are less common. Portions 2023 Mayo Foundation for Medical Education and Research. Recap the swab specimen transport tube tightly. 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. Recap the swab specimen transport tube tightly. Test Code CT/GC CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION . (Min: 0.3 mL) Storage/Transport Temperature Room temperature Unacceptable Conditions Hemolyzed, Icteric, or lipemic specimens CPT Code: 87491, 87591 Panel Includes: The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. C. trachomatis; testing to when the result is released to the ordering provider. 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. a The CPT codes provided are based on American Medical Association guidelines an are for informational purposes only. 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. Tightly screw on the cap. 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. If youve been in a long-term, monogamous sexual relationship the same partner, you should still test for STDs once a year. Summary and Explanation of the Test . If these conditions are met, treatment is considered to be a failure. What is CPT code for urine STD testing? 1. Accessed March 2022. Ordering Restrictions may apply. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 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: 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. Sometimes, this may lead to infertility . Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. As a final step, twirl the brush between the thumb and forefinger vigorously to further release cellular material. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Urine samples must be transported to the laboratory at 4C to 30C within 24 hours of specimen Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. 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. 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 Chlamydia testing looks for evidence of infection with the bacteria Chlamydia trachomatis. 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/. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Discard this swab. Add urine to the Aptima Combo 2 urine collection device. It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. 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. This test was developed, and its performance characteristics determined, by LabCorp. 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. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. Gently invert the tube two to three times to ensure complete mixing of the specimen. labcorp drug test discussion in urine testing . The final volume must be between the two black lines on the device (about 2 mL). Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. Many people with chlamydia have no symptoms. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Refer to Chlamydia trachomatis by Transcription-Medicated Amplification (TMA) (ARUP test code 0060243). CDC website: https://www.cdc.gov/hepatitis/hbv/pdfs/prenatalhbsagtesting_508.pdf. Rectal and throat swabs are acceptable for C trachomatis and N gonorrhoeae NAAT testing. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Recap the Aptima tube tightly. For more information, please view the literature below. 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 1. 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 Tightly screw on the cap. If youve recently tested positive for chlamydia or gonorrhea, complete the treatment, then test again after 3 months to ensure the treatment was successful. 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.