Nucleic acid amplification testing is recommended for detection of Chlamydia trachomatis from endocervical or urethral specimens. 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 ) contract: oklahoma department of health 706222 hiv-1 antibody confirmation by western blot 706317 hiv-1 naa 706219 hiv-1 quanlitative rn, Read Also: How Do I Know I Have Chlamydia Female. TEST NAME. As such, they can be run on urine samplesnot just urethral or cervical swabs. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. 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/. 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. Sexually Transmitted Infections: National Strategic Plan for the United States 2021-2025. All Rights Reserved. These instructions include the following statement. RPR with reflex to quantitative RPR and confirmatory Treponema pallidum antibodies; HIV p24 Antigen/Antibody with reflex to confirmation; HBV screening and diagnosis (HBsAg, anti-HBs, HBc-total with reflex to IgM); HCV antibody with reflex to quantitative real-time PCR; Chlamydia trachomatis NAA and Neisseria gonorrhoeae NAA. 2023 Laboratory Corporation of America Holdings. These types of testing are sensitive to even very small amounts of bacterial DNA. allowed for additional confirmatory or additional reflex tests. This bacteria can affect rectum, urethra, cervix and other non-genital sites including eyes and lungs. by. Reported: 4 days from receipt of the specimen. Withdraw the swab carefully. 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. Clinical Significance When present, symptoms may include discharge or painful urination. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. It isnt me. 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. CPT Disclaimer. LabCorp Test #: 377036, CPT: 81001. Then, rotate the brush in the PreservCyt solution 10 times while pushing against the wall of the ThinPrep vial. Do not touch the soft tip or lay the swab down. Chlamydia is a very common sexually transmitted disease. Testing schedules may vary. 11. 17. 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. Cpt Code For Gc Chlamydia Urine Test Labcorp. Tightly screw on the cap. Read Also: If You Test Positive For Chlamydia. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. U.S. Department of Health and Human Service. If not diagnosed and treated, it can cause severe health problems. Test Code M14 Chlamydia/GC PCR, Urine Important Note. These facilities are private, comfortable and test for diseases other than STDs. Specimen must be collected and transported with test-specific kit (ARUP supply #55224). Withdraw the swab without touching the skin. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. It has not been cleared or approved by the US Food and Drug Administration (FDA). Hepatitis B. CDC website: www.cdc.gov/hepatitis/hbv/index.htm. CPT Code (s): 87481 (x 2), 87491, 87591, 87661, 87798 (x 3) Collection Procedure: Vaginal Swab: Collect a vaginal fluid sample using a Gen-Probe Aptima swab by contacting the swab to the lower third of the vaginal wall and rotating the swab for 10 to 30 seconds to absorb fluid. Chlamydia/gonococcus Naa With Reflex To Test Code M14 Chlamydia/GC PCR, Urine Important Note. If youve recently tested positive for chlamydia or gonorrhea, complete the treatment, then test again after 3 months to ensure the treatment was successful. Tightly screw on the cap. 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. Discard this swab. Put on clean gloves and repeat steps 8 to 18 with subsequent specimens. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. Recap the swab specimen transport tube tightly. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. Testing schedules may vary. For bacterial infections, such as gonorrhea, syphilis or Chlamydia, those indicators would be bacteria in urine samples. 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. 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. Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. Tightly screw on the cap. 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. The purpose of gonorrhea testing is to detect a gonorrhea infection. 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. (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. Chlamydia cell cultures may be used in children with a suspected chlamydia infection, when evaluating potential infections in the anus or rectum, and when initial treatment for chlamydia is unsuccessful. This bacterial infection is mostly common among young adults who are sexually active. Physicians and other persons responsible for ordering clinical tests should be familiar with the following. Add urine to the Aptima Combo 2 urine collection device. Withdraw the swab without touching the skin. Recap the swab specimen transport tube tightly. C. trachomatis; Insert the specimen collection swab (blue shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 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. female and male urine specimens. U.S. Preventive Services Task Force: Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement. For more information, please view the literature below. The final volume must be between the two black lines on the device (about 2 mL). Refer to Chlamydia trachomatis by Transcription-Medicated Amplification (TMA) (ARUP test code 0060243). Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens. Label each Aptima tube with the appropriate specimen label. Gently invert the tube two to three times to ensure complete mixing of the specimen. 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. I looked up/Googled health codes and 74.5 stands. Retrieve ThinPrep vials that are to have aliquots removed. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital Test Code 11363 CPT Code (s) 87491, 87591 CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering. 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. Test Code M14 Chlamydia/GC PCR, Urine Important Note. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Transfer the specimen to the Aptima urine specimen collection kit if 14 years of age or older Urine Specimen Collection Instructions: 1. Recommended Reading: Treatment For Chlamydia And Trichomoniasis. Both men and women can experience fertility problems after a chlamydia infection. Regular screening for gonorrhea in heterosexual men without symptoms is not generally recommended. Expected Turnaround Time 2 - 3 days Note: For testing, aliquots must be transferred to Aptima specimen transport tubes or Aptima Unisex specimen transport tubes (both referred to as Aptima tube in the following procedure) from ThinPrep vials within seven days of specimen collection when ThinPrep vials are stored at 15C to 30C. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for CPT Code: 87491, 87591 Panel Includes: Wipe down work surfaces and pipettors with 1:1 bleach:water solution. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). 008128: GC (Neisseria gonorrhoeae) Culture Only | Labcorp Specimen Details LOINC Back to Top GC ( Neisseria gonorrhoeae) Culture Only TEST: 008128 CPT: 87081 Print Share Include LOINC in print Synonyms Neisseria gonorrhoeae Culture Culture for Neisseria gonorrhoeae Only Culture for GC Only Genital Culture (GC) Only Gonorrhea Culture This type of test detects the genetic material of Chlamydia trachomatis. 19. Summary and Explanation of the Test . Patient self-collection instructions: Partially open the package. Discard the brush. Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. Learning more about the different types of STDs someone can getlike chlamydiacan help you care for your sexual health. Transfer 1 mL serum or plasma to a Standard Transport Tube. Cpt Code Description Start Date End Date Max Allowed. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. 2023 Laboratory Corporation of America Holdings. Kilpatrick SJ, Papile LA, Macones GA, eds. Offer. Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. 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. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. Cover the bench with clean, plastic-backed absorbent laboratory bench covers. 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 ). Female patients should not cleanse the labial area prior to providing the specimen. Chlamydia A common STI caused by the bacteria, Chlamydia trachomatis. It is also common among African Americans. 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. LABORATORY SCREENING. 1. a The CPT codes provided are based on American Medical Association guidelines an are for informational purposes only. Recap the Aptima tube tightly. 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. CPT Code. Discard this swab. For most people, the thought of getting a gonorrhea urine test or chlamydia urine test is a lot less intimidating than the thought of needing a physical exam. Add urine to the Aptima COMBO 2 urine collection device. 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). Browse records in NAAT is the preferred method for detecting a chlamydia infection. Recap the swab specimen transport tube tightly. 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. Tightly screw on the cap. Thats why its so important to get retested after every sexual encounter with new partners. Clinical Significance: This assay may be used to test specimens from symptomatic and asymptomatic individuals to aid in the diagnosis of gonococcal and/or chlamydial urogenital disease. As such, health plan access, test ordering, and billing processes may differ from those of Quest Diagnostics. Allow bleach to contact work surfaces and pipettors for at least one minute and then follow with a water rinse. labcorp drug test discussion in urine testing . 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. Female patients should not cleanse the labial area prior to providing the specimen. If reflex test is performed, additional charges/CPT code(s) may apply. allowed for additional confirmatory or additional reflex tests. Schillie S, Vellozzi C, Reingold A, et al. 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. Provide patient with a sterile, plastic, preservative-free, screw cap specimen collection cup. 87491, 87591, 87661. Hemolysis; lipemia; received outside of specimen and/or storage and/or labeling requirements; aliquot received for HIV testing; specimen in expired transport or incorrect transport device; specimens with inappropriate source for test requested; Aptima urine transport >30 days from collection; Aptima urine transport with incorrect specimen volume; Aptima swab transport >60 days from collection; Aptima swab specimen without a swab; cleaning swab (white-shaft swab) in Aptima swab transport; Aptima transport device with multiple swabs. 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. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. What is CPT code for urine STD testing? Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. Add urine to the Aptima Combo 2 urine collection device. 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. Recap the swab specimen transport tube tightly. Tighten the cap on the ThinPrep container so that the torque line on the cap passes the torque line on the vial. A urine culture test detects and identifies bacteria and yeasts in the urine, which may be causing a UTI. For more information, please contact ReproSource at 1.800.667.8893 or visit ReproSource.com/Contact .