Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. Good laboratory practices should be followed to avoid introducing contaminants into either the PreservCyt sample vial (ThinPrep vial) or the aliquot. allowed for additional confirmatory or additional reflex tests. 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. A full range of tests for STI screening and confirmation are available from ACL Laboratories. (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. Then, rotate the brush in the PreservCyt solution 10 times while pushing against the wall of the ThinPrep vial. Patient self-collection instructions: Partially open the package. Tightly screw on the cap. Indicate a specific test number on the test request form. Do not touch the soft tip or lay the swab down. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. For more information, please view the literature below. 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 ). Tightly screw on the cap. 3. 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 . - GC NGC : 3 x 1.7 mL : Non-infectious . Both men and women can experience fertility problems after a chlamydia infection. 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. 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. Rapid chlamydia tests can often provide a result within 30 to 90 minutes. Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . Read Also: Over The Counter Drugs For Chlamydia, Labcorps test menu provides a comprehensive list of specialty and general laboratory testing services. 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 Testing schedules may vary. 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. testing to when the result is released to the ordering provider. Testing Performed: Monday - Saturday; Results in 1-3 days. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Method: Hologic APTIMA Combo 2 Assay. For women, a vaginal sample is recommended in the absence of a pelvic exam. Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. Label each Aptima tube with the appropriate specimen label. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 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. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Negative; no Chlamydia trachomatis or Neisseria gonorrhoeae detected. These instructions include the following statement. 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. Note: Specimen collected in Aptima PCR Urine media contain a preservative and are stable for 30 days. 9. 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. If these conditions are met, treatment is considered to be a failure. Trichomoniasis is an infection caused by parasites, which will be found in the urine of infected individuals. TEST NAME. If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. . ThinPrep 3000 System Operator's Manual Addendum, 70557-001-B001 Rev A. 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. 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. Both chlamydia and gonorrhea show the same symptoms. As with any subsampling step in anatomic pathology, chance misallocation of diagnostic cells may occur if they are very rare. 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. Sexually Transmitted Infections: National Strategic Plan for the United States 2021-2025. Reference Values: . Provide patient with a sterile, plastic, preservative-free, screw cap specimen collection cup. Are samples other than genital samples, such as throat and rectal swabs, acceptable for C trachomatis and N gonorrhoeae NAATs? 2020. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. 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. Lab/Phone: 330-543-8576 TAT: 4 hours if specimen is received when test is being run Additional Info: Positive results are called and reported to the Ohio Department of Health (ODH). You should get tested for STDs, including chlamydia and gonorrhea, before and after every sexual encounter with new partners. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. For men, first-catch urine is the recommended. Traditionally, NAAT takes a day or more to provide results, but there have also been rapid chlamydia tests developed using NAAT methods. Withdraw the swab carefully. The fluid level must fall between the 2 black lines on the urine transport tube. The final volume must be between the two black lines on the device (about 2 mL). C. trachomatis; allowed for additional confirmatory or additional reflex tests. Add urine to the Aptima Combo 2 urine collection device. Testing schedules may vary. Urine testing is currently primarily used to detect bacterial STIs. WebCPT Code.CPT Description.CPT Disclaimer. Urine must be first-void, not midstream; >60.0 mL will decrease sensitivity of the test. 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. Chlamydia testing looks for evidence of infection with the bacteria Chlamydia trachomatis. In some cases, additional time should be The Xpert CT/NG Assay provides qualitative results. Urine Specimen Collection and Handling 1. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Question 3. This type of test detects the genetic material of Chlamydia trachomatis. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 2023 Laboratory Corporation of America Holdings. The final volume must be between the two black lines on the device (about 2 mL). Webcpt code for gc chlamydia urine test labcorp. Test Code M14 Chlamydia/GC PCR, Urine Important Note. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia . 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/.
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