cpt code for gc chlamydia urine test labcorp

Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. 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. 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. C trachomatis and N gonorrhoeae have been isolated from extra-genital sites in men who have sex with men and sexually active, heterosexuals who engage in unprotected oral or anal sex. Thats why its so important to get retested after every sexual encounter with new partners. This infection can be spread by either vaginal, anal or oral sex. Tests are available to detect chlamydia at home. Although the findings were not statistically significant, positivity appeared to. Webcpt code for gc chlamydia urine test labcorp. Recap the swab specimen transport tube tightly. 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. The Centers for Disease Control And Prevention state that, every year, 2.8 million Americans get infected with chlamydia. 2 mL of urine specimen must be transferred into the Aptima Specimen Transport within 24 hours of collection and before being assayed. Centers for Disease Control and Prevention (CDC), The American College of Obstetrics and Gynecologists. Assay interference may be observed in the presence of blood, mucin, bilirubin, or Vagisil feminine powder with urine specimens. 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 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. Testing schedules may vary. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. Sometimes, this may lead to infertility . Chlamydia and gonorrhea urine tests are widely available. Chlamydia/Gonococcus Client-provided Aliquot TEST: 186200 CPT: 87491; 87591 Print Share Include LOINC in print Special Instructions Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. . 91448. 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. CPT Disclaimer. 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. 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. These include young people who are sexually active, gay, bisexual, and men who have sex with men. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. testing to when the result is released to the ordering provider. Add urine to the Aptima Combo 2 urine collection device. 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. Do not touch the soft tip or lay the swab down. I looked up/Googled health codes and 74.5 stands. Labcorp Test Code For Gonorrhea And Chlamydia Urine. Accessed March 2022. Traditionally, NAAT takes a day or more to provide results, but there have also been rapid chlamydia tests developed using NAAT methods. Specimen must be collected and transported with test-specific kit (ARUP supply #55224). 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. PID sometimes causes your reproductive organs to swell, triggering chronic pelvic pain and making it difficult to conceive. Withdraw the swab carefully. (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. 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 negative results from the specimen do not fit with the clinical impression, a new specimen may be necessary. Allow bleach to contact work surfaces and pipettors for at least one minute and then follow with a water rinse. Chlamydia/Neisseria Gonorrhoeae RNA, TMA, Urine Test Code 36341 This test is not available in all locations. CPT Code a. 8th edition, September 2017. Rapid chlamydia tests can often provide a result within 30 to 90 minutes. 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. 13. Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. Refer to Chlamydia trachomatis by Transcription-Medicated Amplification (TMA) (ARUP test code 0060243). The purpose of gonorrhea testing is to detect a gonorrhea infection. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. . Female patients should not cleanse the labial area prior to providing the specimen. The final volume must be between the two black lines on the device (about 2 mL). 91448. Women with untreated gonorrhea or chlamydia can also develop a condition known as pelvic inflammatory disease . 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. Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. This makes chlamydia a widespread sexually transmitted disease. Test code 11363 , 11361 , 11362 Question 1. CDC website: https://www.cdc.gov/hepatitis/hbv/pdfs/prenatalhbsagtesting_508.pdf. Ct/GC: Option 1: Gen-Probe Aptima endocervical or vaginal swab. 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. Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC 724344: Cadmium Std Profile, Blood/Ur: 085340: Cadmium, Blood: ug/L: 5609-3: 724344: Cadmium Std Profile, Blood/Ur: 072713: Cadmium, Urine: ug/L: 21130. Swirl the brush vigorously to release additional material. As such, health plan access, test ordering, and billing processes may differ from those of Quest Diagnostics. You can contract this bacterium through having unprotected sex with an infected partner. Testing schedules may vary. 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 When your order from Health Testing Centers there is no need to visit a std clinic, neighborhood health center or public health clinic. 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. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample. Trichomoniasis urine tests are also available, but they are less common. 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? Withdraw the swab carefully; avoid contact with the vaginal mucosa. Chlamydia is easily treated with antibiotics. Tightly screw on the cap. 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. Trichomoniasis is an infection caused by parasites, which will be found in the urine of infected individuals. Provide patient with a sterile, plastic, preservative-free, screw cap specimen collection cup. Read Also: Over The Counter Drugs For Chlamydia, Labcorps test menu provides a comprehensive list of specialty and general laboratory testing services. 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. Loosen the cap on the Aptima tube. 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. Recap the swab specimen transport tube tightly. 9. 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. 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. ThinPrep 2000 System Operator's Manual Addendum, 70983-001-B001 Rev A. It works differently than a bacterial culture. It affects both men and women, of all ages. 0 . Remove the swab. Accessed March 2022 at https://www.hhs.gov/sites/default/files/STI-National-Strategic-Plan-2021-2025.pdf. Chlamydia/N. Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 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. 2015 the icd 9 code sets used to report medical diagnoses and inpatient procedures will be replaced by icd 10 code . Add urine to the Aptima Combo 2 urine collection device. Add urine to the Aptima COMBO 2 urine collection device. It is essential to have an early screening and diagnosis for both infections and, take the full course of prescribed antibiotics. Withdraw the swab without touching the skin. Vortex the ThinPrep vial for 8 to 12 seconds at high speed. 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. See test code CT/GC for genital sources. Uncap the vial and place it on the work surface with the threads facing up. Swirl vigorously in the ThinPrep vial 10 times and discard the spatula. These types of testing are sensitive to even very small amounts of bacterial DNA. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 20. Store the aliquot in Aptima tube at 15C to 30C for transport to LabCorp. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. - GC NGC : 3 x 1.7 mL : Non-infectious . in juliet papa 1010 wins. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. The final volume must be between the two black lines on the device (about 2 mL). NAAT is the preferred method for detecting a chlamydia infection. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. For more information, please view the literature below. 2. In some cases, additional time should be 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. 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/. Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. 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 bacterial infection is mostly common among young adults who are sexually active. 26 recently purchased Test Code: 183194. Expected Turnaround Time 2 - 3 days This test was developed, and its performance characteristics determined, by LabCorp. 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. It is recommended to ask all patients who may be indicated for this test about biotin supplementation. 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. 5. As a final step, twirl the brush between the thumb and forefinger vigorously to further release cellular material. The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. TEST NAME. 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. 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. Retrieve ThinPrep vials that are to have aliquots removed. Rapid chlamydia tests are typically performed on urine samples or swabs of fluid taken from the vagina or cervix. 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. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. Gonorrhea is a sexually transmitted disease caused by the spread of the Neisseria gonorrhoeae bacteria. If reflex testing is performed, additional charges/CPT code(s) may apply. The Xpert CT/NG Assay provides qualitative results. Recap the swab specimen transport tube tightly. To reduce the chance of contaminating other specimens, work with one ThinPrep Liquid Pap specimen at a time. (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. 3. Label each Aptima tube with the appropriate specimen label. 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 chlamydia test can identify bacteria causing this infection. Aliquot removal may leave insufficient material in the PreservCyt sample vial for performance of ancillary testing (ie, reflexive HPV testing) using the residual specimen following preparation of a ThinPrep Pap Test. 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. 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? testing to when the result is released to the ordering provider. When doctors screen for gonorrhea, they may also screen for other STDs at the same time. testing to when the result is released to the ordering provider. If these conditions are met, treatment is considered to be a failure. Test code 16505- Chlamydia trachomatis RNA, TMA, Rectal Test code 70048- Chlamydia trachomatis RNA, TMA, Throat Test code 16504- Neisseria gonorrhoeae RNA, TMA, Rectal Test code 70049- Neisseria gonorrhoeae RNA, TMA, Throat Question 1 Which Specimen Types Are Suitable For C Trachomatis And N Gonorrhoeae Nucleic Acid Amplification Tests Withdraw the swab carefully; avoid contact with the vaginal mucosa. 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. 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. 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. All Rights Reserved. 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. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. Question 3. Testing schedules may vary. Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests (NAATs)? Centers for Disease Control and Prevention (CDC). Both men and women can experience fertility problems after a chlamydia infection. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. Discard the brush. 30 days (stability provided by manufacturer or literature reference). 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. For men, first-catch urine is the recommended. 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. 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. Transfer 1 mL serum or plasma to a Standard Transport Tube. Collect 10-50mL of first portion of random urine into a sterile plastic container. There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Gently invert the tube two to three times to ensure complete mixing of the specimen. The patient should not have urinated for at least one hour prior to specimen collection. CPT Code: 87491, 87591 Panel Includes: CPT Code. 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. Patient self-collection instructions: Partially open the package. Instead of trying to grow bacteria, these tests just look for bacterial DNA. Regular screening for gonorrhea in heterosexual men without symptoms is not generally recommended. If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. 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. In some cases, additional time should be Accessed March 2022. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. Remove the swab. Tightly screw on the cap. CPT Code (s) Collect Serum Separator Tube (SST) or plain red-top tube Specimen Preparation Separate from cells ASAP or within 2 hours of collection. 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 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. AAP Committee on Fetus and Newborn and ACOG Committee on Obstetric Practice. Maintain specimen at room temperature or refrigerate (2C to 30C). 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. Carefully break the swab shaft at the scoreline; use care to avoid splashing of the contents. Most persons with C trachomatis detected at oropharyngeal sites do not have oropharyngeal symptoms. Discard this swab. a The CPT codes provided are based on American Medical Association guidelines an are for informational purposes only. 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/. This training should be provided by Hologic. Reported: 4 days from receipt of the specimen. A urine culture test detects and identifies bacteria and yeasts in the urine, which may be causing a UTI. Be sure not to touch the pierceable foil cap of the Aptima tube. Transport and store urine refrigerated. 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 ) Many people with chlamydia have no symptoms. Your risk of infertility increases if you delay treatment. 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. Please provide SERVICE AREA INFORMATION to find available tests you can order. Urine samples must be transported to the laboratory at 4C to 30C within 24 hours of specimen 2. allowed for additional confirmatory or additional reflex tests. 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. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. It is essential in preventing its complications, which could be very drastic, ranging from septicemia and joints infection, to a disseminated gonococcal infection that could infect our heart, brain and spinal cord. Wipe down work surfaces and pipettors with 1:1 bleach:water solution. 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. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. Hernandez et al 1 studied the effect of five sequential swabs on CT yield using a rapid enzyme immunoassay kit. 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 the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima Vaginal Swab Specimen Collection Kit.

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