cpt code for gc chlamydia urine test labcorp
As a final step, twirl the brush between the thumb and forefinger vigorously to further release cellular material. Gonorrhea is a sexually transmitted disease caused by the spread of the Neisseria gonorrhoeae bacteria. Then, rotate the brush in the PreservCyt solution 10 times while pushing against the wall of the ThinPrep vial. Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. Chlamydia trachomatis / Neisseria gonorrhoeae DNA, SDA Test code (s) 17305 Question 1. Transfer 1 mL serum or plasma to a Standard Transport Tube. The people you see wont know for what you are getting tested for. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for You simply walk in, provide a sample , and walk out. 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 In some cases, additional time should be Your doctor might order a urine culture if you have symptoms of a UTI, which can . It isnt me. For oral, anal, or rectal sourcessee test code CTGCO. Maintain specimen at room temperature or refrigerate (2C to 30C). Testing schedules may vary. The Xpert CT/NG Assay provides qualitative results. The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. 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. 17. For more information, please view the literature below. Read Also: If You Test Positive For Chlamydia. 1. Chlamydia trachomatis. Tightly screw on the cap. Put on clean gloves before proceeding to specimen transfer. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. Withdraw the swab carefully; avoid contact with the vaginal mucosa. The Xpert CT/NG Assay provides qualitative results. All Rights Reserved. Target amplification nucleic acid probe test that utilizes target capture for qualitative detection and differentiation of ribosomal RNA (rRNA) from Chlamydia trachomatis (CT) and/or Neisseria gonorrhea (GC) One correct swab or urine filled between the two black indicator lines on the tube label. Most at-home chlamydia tests are self-collection kits, which allow you to obtain a swab or sample of urine at home and return it to a laboratory by mail. Recap the swab specimen transport tube tightly. U.S. Department of Health and Human Service. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. 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. NAAT is the preferred method for detecting a chlamydia infection. If reflex test is performed, additional charges/CPT code(s) may apply. CPT Code(s): 87491; 87591; Specimen Requirements: . Maintain specimen at room temperature or refrigerate (2C to 30C). 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. AAP Committee on Fetus and Newborn and ACOG Committee on Obstetric Practice. The LabCorp Test Menu is a page at LabCorp. 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 If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. Female patients should NOT cleanse the labial area prior to specimen collection. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. In some cases, additional time should be Insert the specimen collection swab (blue shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 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). Add urine to the Aptima Combo 2 urine collection device. Although much less commonly used, cell cultures can help diagnose a chlamydia infection. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. 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. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 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. In some cases, additional time should be Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. The final volume must be between the two black lines on the device (about 2 mL). Sometimes, this may lead to infertility . 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. You should get tested for STDs, including chlamydia and gonorrhea, before and after every sexual encounter with new partners. Use: Updated 2/28/22. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. This test was developed, and its performance characteristics determined, by LabCorp. If an at-home chlamydia test returns positive results, a doctor may suggest confirmation testing with a laboratory-based method. In these cases of treatment failure, doctors may use a cell culture to help understand which treatments may be most effective for an individuals infection. 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. Rectal and throat swabs are acceptable for C trachomatis and N gonorrhoeae NAAT testing. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for This bacterial infection is mostly common among young adults who are sexually active. testing to when the result is released to the ordering provider. The name you know. Store in a specimen transport tube at 2C to 30 . Top 3Reference Laboratory Test Catalogs for MiscellaneousLab TestOrders: As of 23 February 2023, NorDx is transitioning to Aptima collection devices for this test. The fluid level must fall between the 2 black lines on the urine transport tube. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia . 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 Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 18. Negative; no Chlamydia trachomatis or Neisseria gonorrhoeae detected. 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; avoid contact with the vaginal mucosa. 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. 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. Clinical Significance TEST NAME. Patient should not have urinated for at least 2 hours prior to collection. 2023 Laboratory Corporation of America Holdings. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection container free of any preservatives. These days, bacterial DNA testing is considered a better option. Collect 10-50mL of first portion of random urine into a sterile plastic container. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 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. Add urine to the Aptima Combo 2 urine collection device. 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. A chlamydia and gonorrhea urine test, random detects chlamydia trachomatis and neisseria gonorrhoeae which is generally transmitted through sexual contact with an infected partner. Chlamydia is one of the most frequently reported sexually transmitted 7060721111 chlamydia trachomatis oral 70607211 chlamydia trachomatis rectal 705756 gc culture . (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. Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. Add urine to the Aptima COMBO 2 urine collection device. A gonorrhea test is performed in two different situations: Screening: Screening tests look for diseases when a person isnt experiencing symptoms in order to detect the disease earlier. Patient self-collection instructions: Partially open the package. 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. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. TEST: 188070 CPT: 87491; 87529 (x2); 87591; 87661 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. Vaginal 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. Testing Performed: Monday - Saturday; Results in 1-3 days. 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; 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; specimen in ProbeTec UPT transport; ProbeTec Q-swabs; urine in sterile container, Detect Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium. These instructions include the following statement. Please note ReproSource is not a Medicare/Medicaid provider. Women with untreated gonorrhea or chlamydia can also develop a condition known as pelvic inflammatory disease . If negative results from the specimen do not fit with the clinical impression, a new specimen may be necessary. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. 14. 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 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. . 2 mL of urine specimen must be transferred into the Aptima Specimen Transport within 24 hours of collection and before being assayed. 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. This policy describes reimbursement for Infectious agent detection by nucleic acid (DNA or RNA) assays for the detection of Sexually Transmitted Infections (STI), represented by CPT codes 87491, 87591, 87661, or 87801, and submitted for reimbursement on professional and facility claim forms. Clinical Significance 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. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 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. For women, a vaginal sample is recommended in the absence of a pelvic exam. allowed for additional confirmatory or additional reflex tests. Withdraw the swab without touching the skin. 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. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved.
