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. 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. You should not use serological pipettes. Maintain specimen at room temperature or refrigerate (2C to 30C). The FDA has determined that such clearance or approval is not necessary. testing to when the result is released to the ordering provider. allowed for additional confirmatory or additional reflex tests. 6. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. Tightly screw on the cap. If an NAAT is positive for C trachomatis or N gonorrhoeae 3 or more weeks after the end of treatment,6 first ensure that the patient has complied with the prescribed therapy and that the patient denies having sex after treatment with an untreated or new sex partner. NAAT is the preferred method for detecting a chlamydia infection. 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. testing to when the result is released to the ordering provider. Slowly rotate the brush to turn in one direction. 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. 4. 2. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. 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. Provide patient with a sterile, plastic, preservative-free, screw cap specimen collection cup. Caution: The desired aliquot must be removed immediately after vortexing the vial to ensure homogeneity of the sample. Other types of chlamydia tests are available but are rarely used given the accuracy and availability of NAAT. Transfer the specimen to the Aptima urine specimen collection kit if 14 years of age or older Urine Specimen Collection Instructions: 1. Swirl vigorously in the ThinPrep vial 10 times and discard the spatula. 2015 the icd 9 code sets used to report medical diagnoses and inpatient procedures will be replaced by icd 10 code . Both chlamydia and gonorrhea show the same symptoms. 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. Loosen the cap on the Aptima tube. What is CPT code for urine STD testing? 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Washington, DC. Urine testing is currently primarily used to detect bacterial STIs. Blood tests can be used to test for the following sexually transmitted diseases: Urine tests are typically used to detect the following sexually transmitted diseases: Whether testing is done via blood or urine samples, the lab that processes those samples is looking for key indicators of an STD infection. 11. 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. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. Ordering Restrictions may apply. 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. Chlamydia Trachomatis And Neisseria Gonorrhoeae Detection - Test Code. 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. Transfer 1 mL serum or plasma to a Standard Transport Tube. 5. 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. download here chlamydia gc screening requisition form supply order form of america llc home healthcare supply 2 mL of urine specimen must be transferred into the Aptima Specimen Transport within 24 hours of collection and before being assayed. All Rights Reserved. Do not touch the soft tip or lay the swab down. Accessed March 2022 at https://www.hhs.gov/sites/default/files/STI-National-Strategic-Plan-2021-2025.pdf. 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. 2. Insert the specimen collection swab (blue shaft swab in the package with green printing) into the endocervical canal. 17. TEST CODE. CT Equiv (CT invalid)/ GC positive: Specimen must be collected and transported with test-specific kit (ARUP supply #55224). The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Discard the collection device. Collect 10-50mL of first portion of random urine into a sterile plastic container. Both men and women can experience fertility problems after a chlamydia infection. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia . If reflex test is performed, additional charges/CPT code(s) may apply. Put on clean gloves before proceeding to specimen transfer. Withdraw the swab carefully; avoid contact with the vaginal mucosa. testing to when the result is released to the ordering provider. As such, they can be run on urine samplesnot just urethral or cervical swabs. 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). 9. Hernandez et al 1 studied the effect of five sequential swabs on CT yield using a rapid enzyme immunoassay kit. In blood tests, such as HIV testing or an HPV test, technicians look for antibodies that the body produces to fight bacteria associated with infection. When present, symptoms may include discharge or painful urination. A urine culture test detects and identifies bacteria and yeasts in the urine, which may be causing a UTI. 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. Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. 7. Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. This can be done using a process called ligase chain reaction or with other DNA amplification techniques. All Rights Reserved. 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. Accessed March 2022. 10. ChlamidiaExplained.com is a one-stop resource for everything you wanted to know about chlamidia symptoms and treatments. CPT coding is the sole responsibility . Physicians and other persons responsible for ordering clinical tests should be familiar with the following. Tightly screw on the cap. - GC NGC : 3 x 1.7 mL : Non-infectious . Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. In some cases, additional time should be Discard this swab. The Xpert CT/NG Assay provides qualitative results. This type of test detects the genetic material of Chlamydia trachomatis. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for That involved attempting to grow bacteria out of samples that were taken directly from the cervix or urethra. 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. Sexually Transmitted Infections: National Strategic Plan for the United States 2021-2025. Chlamydia/N. 15. 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 Your risk of infertility increases if you delay treatment. Remove the swab. 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. Retrieve ThinPrep vials that are to have aliquots removed. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. Withdraw the swab without touching the skin. Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. 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/. Aliquot removal from low-cellularity may leave insufficient material in the PreservCyt sample vial for preparation of a satisfactory ThinPrep Pap Test slide. Rectal and throat swabs are acceptable for C trachomatis and N gonorrhoeae NAAT testing. For more information, please view the literature below. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample. Browse our menu of tests. In some cases, additional time should be There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. Prompt treatment reduces your risk of complications, as undiagnosed chlamydia may put your health at risk. Direct the patient to collect the first 15 50 mL of the initial urine stream in the cup provided On a LabCorp bill, does Chlamydia/GC Amplification mean the presence of Chlamydia or a test for it? Many people with chlamydia have no symptoms. 2023 Laboratory Corporation of America Holdings. 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. 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. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 2. . 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/. 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. 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. Specify the exact specimen source/origin (eg, endocervical). Men, on the other hand, may show symptoms like pain and swelling of the testicles, painful urination, and burning, itching and cloudy discharges at the tip of the penis. For bacterial infections, such as gonorrhea, syphilis or Chlamydia, those indicators would be bacteria in urine samples. To easily check for chlamydia from the comfort of home, simply collect a urine sample and send it to a lab with prepaid shipping using the Everlywell at-home Gonorrhea and Chlamydia test kit. Chlamydia, Urine Test Covered tests: Chlamydia trachomatis, NAA ( LabCorp ) Covered components: Chlamydia trachomatis, NAA Blacklisted States: MD, NJ, NY, RI $59.00 $125.50 Order Health Tests Direct Chlamydia/Gonococcus, Nucleic Acid Amplification (NAA) Covered tests: Chlamydia/Gonococcus, NAA ( LabCorp ) Withdraw the swab carefully. It has not been cleared or approved by the US Food and Drug Administration (FDA). As such, health plan access, test ordering, and billing processes may differ from those of Quest Diagnostics. 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. (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. Gen-Probe Pace transport system; bacterial swab specimen; transport with multiple swabs; specimen received in grossly leaking transport container; specimen submitted in fixative or additives; specimen received in expired transport media or incorrect transport device; inappropriate specimen transport conditions; specimen received after prolonged delay in transport (usually more than 72 hours); swab in transport device; unlabeled specimen or name discrepancy between specimen and request label; prequot specimens with more than 1 mL of PreservCyt added, Detect Chlamydia trachomatis and/or Neisseria gonorrhoeae. Testing schedules may vary. Kilpatrick SJ, Papile LA, Macones GA, eds. Webcpt code for gc chlamydia urine test labcorp. 3. Recap the swab specimen transport tube tightly. Female patients should not cleanse the labial area prior to providing the specimen. Maintain specimen at room temperature or refrigerate (2C to 30C).