The LabCorp Test Menu is a page at LabCorp. If youve recently tested positive for chlamydia or gonorrhea, complete the treatment, then test again after 3 months to ensure the treatment was successful. WebCPT Code.CPT Description.CPT Disclaimer. Despite the fact that both bacterial infections show similar signs, treatments do differ. Store the aliquot in Aptima tube at 15C to 30C for transport to LabCorp. 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. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. For men, yearly screening is recommended if you are a man who has sex with men. CPT Disclaimer. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. 2. Summary and Explanation of the Test . 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. TEST NAME. Insert the specimen collection swab (blue shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 5. Because cytology/HPV testing and STD testing address different clinical questions, aliquot removal may not be suitable for all clinical situations. 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. It is recommended to use powder-free gloves and an individually wrapped, disposable pipetting device with an aerosol barrier tip that is sized appropriately for the volume being withdrawn and dispensed. Expected Turnaround Time 2 - 3 days Chlamydia is easily treated with antibiotics. Provide patient with a sterile, plastic, preservative-free, screw cap specimen collection cup. The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. Accessed March 2022. Many people with chlamydia have no symptoms. Then, rotate the brush in the PreservCyt solution 10 times while pushing against the wall of the ThinPrep vial. Chlamydia/Neisseria Gonorrhoeae RNA, TMA, Urine Test Code 36341 This test is not available in all locations. Do not over-rotate the brush. 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. 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. Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests (NAATs)? CPT Code a. 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? 2023 Laboratory Corporation of America Holdings. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . All Rights Reserved. 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. Withdraw the swab carefully. It affects both men and women, of all ages. 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. WebCPT Code Description Start Date End Date Max Allowed 87320 Chlamydia trachomatis antigen detection using qualitative multiple step enzyme immunoassay technique 4/1/2022 3/31/2023 $18.00 87490 Chlamydia trachomatis detection by nucleic acid using direct probe technique 4/1/2022 3/31/2023 $30.00 81025 Urine pregnancy test using visual 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. Chlamydia/N. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. 2023 Laboratory Corporation of America Holdings. Swirl vigorously in the ThinPrep vial 10 times and discard the spatula. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Slowly rotate the brush to turn in one direction. It is also common among African Americans. Patient should not have urinated for at least 2 hours prior to collection. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. Hernandez et al 1 studied the effect of five sequential swabs on CT yield using a rapid enzyme immunoassay kit. WebCPT Code. 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. Patient Self-Collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. 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 . LABORATORY SCREENING. Patient self-collection instructions: Partially open the package. Uncap the Aptima tube and retain the cap in your hand. 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 ) allowed for additional confirmatory or additional reflex tests. In some cases, additional time should be 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/. Tightly screw on the cap. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. Remove the swab. 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. CPT: 87491; 87591 Print Share Include LOINC in print Synonyms Chlamydia/Gonococcus, Amplicor PCR Chlamydia/Gonococcus, Aptima TMA Chlamydia/Gonococcus, LCR Test Includes Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by nucleic acid amplification technology Special Instructions Submit one specimen per test requested. See test code CT/GC for genital sources. Patient should not have urinated for at least 2 hours prior to collection. download here chlamydia gc screening requisition form supply order form of america llc home healthcare supply Put on clean gloves before proceeding to specimen transfer. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. 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. In some cases, additional time should be 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 and Research. Maintain specimen at room temperature or refrigerate (2C to 30C). CT Equiv (CT invalid)/ GC positive: allowed for additional confirmatory or additional reflex tests. (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. Store in a specimen transport tube at 2C to 30 . 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. LABupdate: Candida Species Identification by NAA, Microbiology Specimen Collection and Transport Guide, Patient Information: Chlamydia, Gonorrhea, and Trichomoniasis, Protect Your Patients From the Consequences of Untreated Chlamydia, Gonorrhea, and Trichomonas: Easily Detected and Easily Treated, Trichomonas vaginalis: Detect More Infections With Nucleic Acid Amplification. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. CPT Code(s): 87491; 87591; Specimen Requirements: . Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. Chlamydia/N. 91448. In some cases, additional time should be Even better, they do not require a live bacterial sample. Sometimes, this may lead to infertility . Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Remove the swab. CDC website: https://www.cdc.gov/hepatitis/hbv/pdfs/prenatalhbsagtesting_508.pdf. Its my Answered by a verified OB GYN Doctor Does a positive leukocyte esterase urine test, in the absence of anything else being positive, indicate gonorrhea or chlamydia? Add urine to the Aptima Combo 2 urine collection device. 2. A urine culture test detects and identifies bacteria and yeasts in the urine, which may be causing a UTI. Cocollection of separate samples for the ThinPrep Pap Test and STD testing may be considered in lieu of aliquot removal. Test Code M14 Chlamydia/GC PCR, Urine Important Note. labcorp drug test discussion in urine testing . Testing schedules may vary. The Xpert CT/NG Assay provides qualitative results. You simply walk in, provide a sample , and walk out. 18. As a final step, twirl the brush between the thumb and forefinger vigorously to further release cellular material. testing to when the result is released to the ordering provider. 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. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. 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). Recap the Aptima tube tightly. ThinPrep 3000 System Operator's Manual Addendum, 70557-001-B001 Rev A. This infection can be spread by either vaginal, anal or oral sex. 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. 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. Discard this swab. Tightly screw on the cap. Centers for Disease Control and Prevention (CDC). All Rights Reserved. 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. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Please provide SERVICE AREA INFORMATION to find available tests you can order. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. 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. Use: Updated 2/28/22. Recap the swab specimen transport tube tightly. Chlamydia/N. 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. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. 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. ChlamidiaExplained.com is a one-stop resource for everything you wanted to know about chlamidia symptoms and treatments. Chlamydia A common STI caused by the bacteria, Chlamydia trachomatis. Tests are available to detect chlamydia at home. 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. . Please note ReproSource is not a Medicare/Medicaid provider. Chlamydia/Gonococcus/Mycoplasma genitalium, NAA, Urine TEST: 180049 CPT: 87491; 87563; 87591 Print Share Include LOINC in print Expected Turnaround Time 3 - 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. 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. 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.