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. The Centers for Disease Control And Prevention states that, every year, 820,000 individuals get infected with gonorrhea. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae infection. 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. Patient should not have urinated for at least 2 hours prior to collection. Discard this swab. Carefully dispense the aliquot into the appropriately labeled Aptima tube. CPT Disclaimer. Chlamydia is a very common sexually transmitted disease. Testing schedules may vary. 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. 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. 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. Add urine to the Aptima Combo 2 urine collection device. 19. 18. labcorp drug test discussion in urine testing . testing to when the result is released to the ordering provider. Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. Recap the swab specimen transport tube tightly. Accessed March 2022. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Many people with chlamydia have no symptoms. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens. NAAT is the preferred method for detecting a chlamydia infection. CPT: 87491; 87591 Print Share Include LOINC in print Expected Turnaround Time 2 - 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. A chlamydia and gonorrhea urine test, random detects chlamydia trachomatis and neisseria gonorrhoeae which is generally transmitted through sexual contact with an infected partner. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Infected women report abnormal vaginal discharges, bleeding between periods, pain during period, when urinating and while having sex, as well as itching and burning around the area of the vagina. Specimens submitted for this test must be handled using precautions necessary to prevent cross-contamination. 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. 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. Chlamydia/N. You should get tested for STDs, including chlamydia and gonorrhea, before and after every sexual encounter with new partners. Tightly screw on the cap. Remove the swab. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. Read Also: If You Test Positive For Chlamydia. 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. 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. CPT Code: 87491, 87591 Panel Includes: 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. 1. Tightly screw on the cap. Discard this swab. See test code CTGCU for urine sources and CTGCO for non-FDA approved sources (oral, anal, or rectal swabs). Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Nucleic acid amplification testing is recommended for detection of Chlamydia trachomatis from endocervical or urethral specimens. Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests ? There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. Negative; no Chlamydia trachomatis or Neisseria gonorrhoeae detected. Chlamydia testing looks for evidence of infection with the bacteria Chlamydia trachomatis. 2023 Laboratory Corporation of America Holdings. CPT coding is the sole responsibility . 2023 Laboratory Corporation of America Holdings. 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. Rectal and throat swabs are acceptable for C trachomatis and N gonorrhoeae NAAT testing. 14. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. ChlamidiaExplained.com is a one-stop resource for everything you wanted to know about chlamidia symptoms and treatments. (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. Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account or to find available tests you can order. Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. allowed for additional confirmatory or additional reflex tests. If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. Chlamydia trachomatis / Neisseria gonorrhoeae DNA, SDA Test code (s) 17305 Question 1. 2. Withdraw the swab carefully. Expected Turnaround Time 2 - 3 days 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, Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by nucleic acid amplification technology. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. Insert the specimen collection swab (blue shaft swab in the package with green printing) into the endocervical canal. The final volume must be between the two black lines on the device (about 2 mL). Female patients should not cleanse the labial area prior to providing the specimen. Recap the swab specimen transport tube tightly. This bacteria can affect rectum, urethra, cervix and other non-genital sites including eyes and lungs. 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. 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. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. 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/. Regular screening for gonorrhea in heterosexual men without symptoms is not generally recommended. Withdraw the swab carefully; avoid contact with the vaginal mucosa. 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. See test code CT/GC for genital sources. The LabCorp Test Menu is a page at LabCorp. As with any subsampling step in anatomic pathology, chance misallocation of diagnostic cells may occur if they are very rare. (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. Put on clean gloves and repeat steps 8 to 18 with subsequent specimens. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. Schillie S, Vellozzi C, Reingold A, et al. 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. testing to when the result is released to the ordering provider. Offer. . For more information, please view the literature below. Add urine to the Aptima COMBO 2 urine collection device. U.S. Department of Health and Human Service. Withdraw the swab carefully; avoid contact with the vaginal mucosa. 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. This makes chlamydia a widespread sexually transmitted disease. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for What is CPT code for urine STD testing? 87491, 87591, 87661. Then, rotate the brush in the PreservCyt solution 10 times while pushing against the wall of the ThinPrep vial.