Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. 10. Centers for Disease Control and Prevention (CDC), The American College of Obstetrics and Gynecologists. 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. Chlamydia is easily treated with antibiotics. . 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. If youve been in a long-term, monogamous sexual relationship the same partner, you should still test for STDs once a year. These facilities are private, comfortable and test for diseases other than STDs. See test code CT/GC for genital sources. 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 . 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. specifically Chlamydia trachomatis and Neisseria gonorrhoeae. Carefully break the swab shaft at the scoreline; use care to avoid splashing of contents. In some cases, additional time should be Transfer 1 mL serum or plasma to a Standard Transport Tube. Insert the specimen collection swab (blue shaft swab in the package with green printing) into the endocervical canal. Your risk of infertility increases if you delay treatment. 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. Question 3. Patient self-collection instructions: Partially open the package. 3. CPT Code: 87491, 87591. 14. Note: Specimen collected in Aptima PCR Urine media contain a preservative and are stable for 30 days. Your doctor might order a urine culture if you have symptoms of a UTI, which can . 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. TEST NAME. 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). 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. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. 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 Provide patient with a sterile, plastic, preservative-free, screw cap specimen collection cup. Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. 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. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia . Patient self-collection instructions: Partially open the package. Caution: The desired aliquot must be removed immediately after vortexing the vial to ensure homogeneity of the sample. ChlamidiaExplained.com is a one-stop resource for everything you wanted to know about chlamidia symptoms and treatments. It affects both men and women, of all ages. Recommended Reading: Ciprofloxacin For Gonorrhea And Chlamydia. If not diagnosed and treated, it can cause severe health problems. 17. All in on place. Some of the assays in this panel have not been FDA cleared or approved for the screening of blood or plasma donors, nor have assay performance characteristics been established for immunocompromised or immunosuppressed patients, cord blood, or patients less than 2 years of age. Recap the swab specimen transport tube tightly. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. For oral, anal, or rectal sourcessee test code CTGCO. The final volume must be between the two black lines on the device (about 2 mL). 18. If these conditions are met, treatment is considered to be a failure. Use: Updated 2/28/22. The CDC currently recommends oral and anal testing of MSM who have had receptive oral or anal sex, respectively, within the previous year.4 Both C trachomatis and N gonorrhoeae testing are recommended on the anal specimens. Clinical Significance Discard this swab. The fluid level must fall between the 2 black lines on the urine transport tube. 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. Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . 2023 Laboratory Corporation of America Holdings. AAP Committee on Fetus and Newborn and ACOG Committee on Obstetric Practice. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. In some cases, additional time should be Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC 180049: Ct Ng M genitalium NAA, Urine: 180024: Mycoplasma genitalium NAA: 88226-6: 180049: Ct Ng M genitalium NAA, Urine: 180050: Chlamydia trachomatis, NAA: 42931-6: 180049: Ct Ng M genitalium NAA, Urine: 180052: Neisseria gonorrhoeae, NAA: 60256-, Read Also: What Medication Do You Take For Chlamydia. Do not touch the soft tip or lay the swab down. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Prompt treatment reduces your risk of complications, as undiagnosed chlamydia may put your health at risk. 9. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Test code 70048- Chlamydia trachomatis RNA, TMA, Throat Test code 16504- Neisseria gonorrhoeae RNA, TMA, Rectal Test code 70049- Neisseria gonorrhoeae RNA, TMA, Throat You May Like: Causes Of Chlamydia In Females Urine Testing Vs Bacterial Culture Urine testing is currently primarily used to detect bacterial STIs. This can be done using a process called ligase chain reaction or with other DNA amplification techniques. The final volume must be between the two black lines on the device (about 2 mL). 1. 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. 2. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens. CPT Description. 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. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. Accessed March 2022. Prior to sampling the patient should not have urinated for at least 1 hour. Webcpt code for gc chlamydia urine test labcorp. Portions 2023 Mayo Foundation for Medical Education and Research. This test was developed, and its performance characteristics determined, by LabCorp. The results you trust. 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. 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). Refer to Chlamydia trachomatis by Transcription-Medicated Amplification (TMA) (ARUP test code 0060243). 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. 16. U.S. Department of Health and Human Service. 13. 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. Tests are available to detect chlamydia at home. Withdraw the swab carefully; avoid contact with the vaginal mucosa. Chlamydia trachomatis is a type of gram-negative bacteria that is responsible for causing Chlamydia infection. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. NAAT is the preferred method for detecting a chlamydia infection. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for

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