Vortex the ThinPrep vial for 8 to 12 seconds at high speed. 2. Chlamydia is easily treated with antibiotics. In some cases, additional time should be testing to when the result is released to the ordering provider. 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. 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. 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. Insert the specimen collection swab (blue shaft swab in the package with green printing) into the endocervical canal. 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 ) Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Cpt Code Description Start Date End Date Max Allowed. Chlamydia/Neisseria Gonorrhoeae RNA, TMA, Urine Test Code 36341 This test is not available in all locations. 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 ). Retrieve ThinPrep vials that are to have aliquots removed. Expected Turnaround Time 2 - 3 days What is CPT code for urine STD testing? Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. That involved attempting to grow bacteria out of samples that were taken directly from the cervix or urethra. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Webcpt code for gc chlamydia urine test labcorp. 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. For oral, anal, or rectal sourcessee test code CTGCO. Recap the ThinPrep Liquid Pap specimen for Pap smear processing. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. WebCPT Code. 4. As with any subsampling step in anatomic pathology, chance misallocation of diagnostic cells may occur if they are very rare. Do not over-rotate the brush. 2023 Laboratory Corporation of America Holdings. Withdraw the swab carefully. Do not touch the soft tip or lay the swab down. Chlamydia is a very common sexually transmitted disease. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. 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. Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. If reflex test is performed, additional charges/CPT code(s) may apply. This infection can be spread by either vaginal, anal or oral sex. Lab/Phone: 330-543-8576 TAT: 4 hours if specimen is received when test is being run Additional Info: Positive results are called and reported to the Ohio Department of Health (ODH). 20. Swirl the brush vigorously to release additional material. Quest Diagnostics offers throat- and anal -based testing: You May Like: Causes Of Chlamydia In Females, Introduction. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Read Also: If You Test Positive For Chlamydia. Maintain specimen at room temperature or refrigerate (2C to 30C). Remove the swab. 17. 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. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. Both men and women can experience fertility problems after a chlamydia infection. Although the findings were not statistically significant, positivity appeared to. Chlamydia/Neisseria requires use of a first catch (the initial stream of urine that will wash organisms out of the urethra of men or women). The final volume must be between the two black lines on the device (about 2 mL). Urine Specimen Collection and Handling 1. (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. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. CPT Code: 87491, 87591 Panel Includes: The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. When doctors screen for gonorrhea, they may also screen for other STDs at the same time. Withdraw the swab without touching the skin. Patient self-collection instructions: Partially open the package. 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 Read Also: Over The Counter Drugs For Chlamydia, Labcorps test menu provides a comprehensive list of specialty and general laboratory testing services. In the specimen transfer area, place a test tube rack containing a sufficient number of Aptima tubes to the number of ThinPrep Pap specimens being tested for Ct/Ng. 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 The Xpert CT/NG Assay provides qualitative results. 2015 the icd 9 code sets used to report medical diagnoses and inpatient procedures will be replaced by icd 10 code . GC testing is indeterminate, a new specimen should be collected. Urine samples must be transported to the laboratory at 4C to 30C within 24 hours of specimen You simply walk in, provide a sample , and walk out. 15. by. Test Code M14 Chlamydia/GC PCR, Urine Important Note. 10. 2023 Laboratory Corporation of America Holdings. - GC NGC : 3 x 1.7 mL : Non-infectious . If youve recently tested positive for chlamydia or gonorrhea, complete the treatment, then test again after 3 months to ensure the treatment was successful. When you have symptoms of chlamydia, such as pain during urination, vaginal discharge and abdominal pain or unusual discharge from the penis, pain on urination or painful, swollen testicles, Having an STD in the past or a sex partner recently treated for an STD. Although the clinical significance of oropharyngeal C trachomatis infection is unclear and routine oropharyngeal screening for CT is not recommended, available evidence suggests oropharyngeal C trachomatis can be sexually transmitted to genital sites therefore, per the 2015 guidelines on sexually transmitted diseases, oropharyngeal C trachomatis should be treated with appropriate antimicrobials.4. Accessed March 2022. The results you trust. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens. Then, rotate the brush in the PreservCyt solution 10 times while pushing against the wall of the ThinPrep vial. It is recommended to ask all patients who may be indicated for this test about biotin supplementation. All in on place. Transport and store urine refrigerated. 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/. The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. 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 . The final volume must be between the two black lines on the device (about 2 mL). 2020. LabCorp uses the following procedure and believes it is consistent with the previous instructions as well as with the amplified assay that will be performed on the specimen to be sent. Recap the Aptima 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. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Tightly screw on the cap. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. Female patients should NOT cleanse the labial area prior to specimen collection. It is essential to have an early screening and diagnosis for both infections and, take the full course of prescribed antibiotics. U.S. Department of Health and Human Service. 2. 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). If an at-home chlamydia test returns positive results, a doctor may suggest confirmation testing with a laboratory-based method. . The fluid level must fall between the 2 black lines on the urine transport tube. 183160: Chlamydia trachomatis,Neisseria gonorrhoeae, and Trichomonas vaginalis, NAA | Labcorp Specimen Details LOINC Back to Top Chlamydia trachomatis,Neisseria gonorrhoeae, and Trichomonas vaginalis, NAA TEST: 183160 CPT: 87491; 87591; 87661 Print Share Include LOINC in print Synonyms Chlamydia/Gonococcus, PCR Trichomonas, PCR 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. CPT Code a. I looked up/Googled health codes and 74.5 stands. Other types of chlamydia tests are available but are rarely used given the accuracy and availability of NAAT. 3. Gonorrhea is a sexually transmitted disease caused by the spread of the Neisseria gonorrhoeae bacteria. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account or to find available tests you can order. Carefully break the swab shaft at the scoreline; use care to avoid splashing of contents. 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/. TEST NAME. All Rights Reserved. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. Obtain an adequate sample from the ectocervix using a plastic spatula. Cover the bench with clean, plastic-backed absorbent laboratory bench covers. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Put on clean gloves before proceeding to specimen transfer. Rinse the collection device in the PreservCyt solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. 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? Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. 7. Discard this swab. Tightly screw on the cap. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. CPT Disclaimer. 2. CPT coding is the sole responsibility . Patient self-collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. Uncap the Aptima tube and retain the cap in your hand. Withdraw the swab without touching the skin. testing to when the result is released to the ordering provider. 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. Guidelines for Perinatal Care. This type of test detects the genetic material of Chlamydia trachomatis. Female patients should not cleanse the labial area prior to providing the specimen. Patient should not have urinated for at least 2 hours prior to collection. Chlamydia Trachomatis And Neisseria Gonorrhoeae Detection - Test Code. Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . CPT Code(s): 87491; 87591; Specimen Requirements: . No Chlamydia trachomatis or Neisseria gonorrhoeae detected. 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. These days, bacterial DNA testing is considered a better option. 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. 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 9. HIV p24 Antigen/Antibody With Reflex to Confirmation [083935] requires a dedicated, unopened, gel-barrier tube or red-top tube sent directly to the testing facility. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Withdraw the swab without touching the skin. 1. (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. First-void urine in Aptima urine transport, 2 mL aliquot of a 20 to 30 mL urine collection. You become infected with it, by having unprotected sex with a person who has the bacterium chlamydia trachomatis. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. Test Code: GCAT, CHAT, GCCAT (Battery for both tests) CPT 4 Code: 87491 (Chlamydia) 87591 (GC) Specimen Requirements: Urine: First catch urine (approximately 20 to 30 ml of initial urine stream) into urine collection cup free of any preservatives. Submit one specimen per test requested. Most persons with C trachomatis detected at oropharyngeal sites do not have oropharyngeal symptoms. Traditionally, NAAT takes a day or more to provide results, but there have also been rapid chlamydia tests developed using NAAT methods. 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. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 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. Insert the specimen collection swab (blue shaft swab in the package with the green printing) 2 to 4 cm into the urethra. Prompt treatment reduces your risk of complications, as undiagnosed chlamydia may put your health at risk. 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. Recap the swab specimen transport tube tightly. Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. Aptima (Gen-Probe) Endocx/ureth swab or urine, gel-barrier tube. 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. Negative; no Chlamydia trachomatis or Neisseria gonorrhoeae detected. The Centers for Disease Control And Prevention state that, every year, 2.8 million Americans get infected with chlamydia. The Gonorrhea test is essential in screening, diagnosing and evaluating the treatment plan of a gonorrhea infection. Specify the exact specimen source/origin (eg, endocervical). This training should be provided by Hologic. The assay may be used to test . There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. TEST CODE. 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.