There are several types of tests that can be used to detect chlamydia, including molecular testing, also called Nucleic Acid Amplification Test , and cell culture. NAAT is the preferred method for detecting a chlamydia infection. This test was developed, and its performance characteristics determined, by LabCorp. You can contract this bacterium through having unprotected sex with an infected partner. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample. 0 . CPT Description. Instead of trying to grow bacteria, these tests just look for bacterial DNA. Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . Recap the swab specimen transport tube tightly. Chlamydia trachomatis / Neisseria gonorrhoeae DNA, SDA Test code (s) 17305 Question 1. 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. 2023 Laboratory Corporation of America Holdings. female and male urine specimens. Discard this swab. Accessed March 2022 at https://www.hhs.gov/sites/default/files/STI-National-Strategic-Plan-2021-2025.pdf. Testing schedules may vary. 2. This training should be provided by Hologic. Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. 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. allowed for additional confirmatory or additional reflex tests. 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. This makes chlamydia a widespread sexually transmitted disease. 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. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. Using a pipetting device with an aerosol barrier tip, immediately withdraw a 1 mL aliquot from the ThinPrep vial. Recommended Reading: Treatment For Chlamydia And Trichomoniasis. Ordering Restrictions may apply. Carefully break the swab shaft at the scoreline; use care to avoid splashing of contents. 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. TEST NAME. Physicians and other persons responsible for ordering clinical tests should be familiar with the following. Additionally, it is possible to be re-infected with both diseases, so even if youve already been treated for chlamydia or gonorrhea, youre still susceptible to re-acquiring it. 11. 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. Swirl the brush vigorously to release additional material. . 19. 3. Rapid chlamydia tests are typically performed on urine samples or swabs of fluid taken from the vagina or cervix. You simply walk in, provide a sample , and walk out. 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. Trichomoniasis urine tests are also available, but they are less common. Withdraw the swab carefully. 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/. Mycoplasma genitalium. Accessed March 2022. Yes! Although much less commonly used, cell cultures can help diagnose a chlamydia infection. Question 2. Recommended Reading: Ciprofloxacin For Gonorrhea And Chlamydia. testing to when the result is released to the ordering provider. CDC website: https://www.cdc.gov/hepatitis/hbv/pdfs/prenatalhbsagtesting_508.pdf. 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/. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. 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. 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. Are samples other than genital samples, such as throat and rectal swabs, acceptable for C trachomatis and N gonorrhoeae NAATs? A chlamydia or gonorrhea infection may cause inflammation or scarring of the reproductive organs. Patient should not have urinated for at least 2 hours prior to collection. 20. First-void urine in Aptima urine transport, 2 mL aliquot of a 20 to 30 mL urine collection. Prompt treatment reduces your risk of complications, as undiagnosed chlamydia may put your health at risk. TEST CODE. 5. allowed for additional confirmatory or additional reflex tests. in juliet papa 1010 wins. allowed for additional confirmatory or additional reflex tests. 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. CPT Code(s) 87491, 87591, 87661. testing to when the result is released to the ordering provider. LABORATORY SCREENING. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. The patient should not have urinated for at least one hour prior to specimen collection. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 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 Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. (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. It is recommended to ask all patients who may be indicated for this test about biotin supplementation. testing to when the result is released to the ordering provider. Method: Hologic APTIMA Combo 2 Assay. 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). Screening and Referral Algorithm for Hepatitis B Virus (HBV) Infection Among Pregnant Women. Enhancing Outcomes: Universal Screening for Chlamydia and Gonorrhea, Microbiology Specimen Collection and Transport Guide, Protect Your Patients From the Consequences of Untreated Chlamydia, Gonorrhea, and Trichomonas: Easily Detected and Easily Treated, The Most Accurate Results Come From the Best Specimens, Trichomonas vaginalis: Detect More Infections With Nucleic Acid Amplification, Endocervical, vaginal, 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, One swab (endocervical, vaginal, or urethral), 2 mL of a 20 mL to 30 mL urine collection, or entire liquid cytology vial, One swab (endocervical, vaginal, or urethral), 2 mL of a 15 mL urine collection, or entire liquid cytology vial, Gen-Probe Aptima swab or Aptima urine specimen transport; ThinPrep liquid cytology vial, Option 1: Gen-Probe Aptima Endocervical, Male Urethral, or Vaginal Swab. Accessed March 2022. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. 1. Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. 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. 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. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. For more information, please view the literature below. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Collect 10-50mL of first portion of random urine into a sterile plastic container. That involved attempting to grow bacteria out of samples that were taken directly from the cervix or urethra. 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. 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. Urine must be first-void, not midstream; >60.0 mL will decrease sensitivity of the test. 12. Expected Turnaround Time 2 - 3 days I looked up/Googled health codes and 74.5 stands. allowed for additional confirmatory or additional reflex tests. 9. For women, yearly screening is recommended if you are sexually active and younger than age 25, or 25 or older and at increased risk for chlamydia infection when you are pregnant or considering pregnancy. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial - Diagnosis of the three most common sexually transmitted infections. 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. 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 Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. The Xpert CT/NG Assay provides qualitative results. See test code CT/GC for genital sources. 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. The final volume must be between the two black lines on the device (about 2 mL). Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. These include young people who are sexually active, gay, bisexual, and men who have sex with men. Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. Insert the specimen collection swab (blue shaft swab in the package with the green printing) 2 to 4 cm into the urethra. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Please provide SERVICE AREA INFORMATION to find available tests you can order. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Do not over-rotate the brush. Female patients should not cleanse the labial area prior to providing the specimen. Test Code M14 Chlamydia/GC PCR, Urine Important Note. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. 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. Gonorrhea is a sexually transmitted disease caused by the spread of the Neisseria gonorrhoeae bacteria. 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. Withdraw the swab carefully; avoid contact with the vaginal mucosa. It is essential to have an early screening and diagnosis for both infections and, take the full course of prescribed antibiotics. If reflex testing is performed, additional charges/CPT code(s) may apply. Indicate a specific test number on the test request form. Trichomoniasis is an infection caused by parasites, which will be found in the urine of infected individuals. Testing schedules may vary. CT Equiv (CT invalid)/ GC positive: Women with untreated gonorrhea or chlamydia can also develop a condition known as pelvic inflammatory disease . Vortex the ThinPrep vial for 8 to 12 seconds at high speed. When present, symptoms may include discharge or painful urination. Test Code CT/GC CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION . Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. CPT Code a. 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. All Rights Reserved. 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. It isnt me. It has not been cleared or approved by the US Food and Drug Administration (FDA). a The CPT codes provided are based on American Medical Association guidelines an are for informational purposes only. Aptima (Gen-Probe) Endocx/ureth swab or urine, gel-barrier tube. Despite the fact that both bacterial infections show similar signs, treatments do differ. Quest Diagnostics offers throat- and anal -based testing: You May Like: Causes Of Chlamydia In Females, Introduction. Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. Recap the swab specimen transport tube tightly. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Add urine to the Aptima COMBO 2 urine collection device. 2 mL of urine specimen must be transferred into the Aptima Specimen Transport within 24 hours of collection and before being assayed. 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. Cpt Code Description Start Date End Date Max Allowed. As with any subsampling step in anatomic pathology, chance misallocation of diagnostic cells may occur if they are very rare. Chlamydia/Neisseria Gonorrhoeae RNA, TMA, Urine Test Code 36341 This test is not available in all locations. In some cases, additional time should be Female patients should not cleanse the labial area prior to providing the specimen. All in on place. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Patient self-collection instructions: Partially open the package. Tightly screw on the cap, Amphetamine Confirmation, Ur Amylase, Body Fluid Anabolic Steroid Screen Analyze 20-25 cells ANCA Panel Androstenedione LCMS Chlamydia trachomatis, NAA Chlamydia/GC Amplification Chromogranin A Chromosome Analysis, BM Chromosome, Leukemic Blood Chromosomes Leuk/Lymph. In order to minimize the potential for cross contamination, aliquot removal should be performed in an appropriate location outside an area where amplification is performed.. 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 full range of tests for STI screening and confirmation are available from ACL Laboratories. The assay may be used to test . 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