C. diff Quik Check Complete

Test Code
CDFQCK


Alias/See Also
C. diff, Clostridium difficile, c diff


CPT Codes
87324

Preferred Specimen
6 mL diarrheal (unformed) stool specimens


Minimum Volume
3 mL diarrheal (unformed) stool specimens


Transport Container
Sterile Leak proof container


Transport Temperature
Refrigerated


Specimen Stability
Room Temperature: Unacceptable
Refrigerated: 3 days
Frozen: 30 days at 10 C or lower


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Formed stools, repeat samples during the same episode of diarrhea, Test of Cure, rectal swabs, preserved specimens.


Methodology
Immunochromatographic

Setup Schedule
Monday through Sunday


Report Available
Reports in 24 hours


Clinical Significance
After treatment with antibiotics, many patients develop gastrointestinal problems ranging from mild diarrhea to severe pseudomembranous colitis.  Many cases of the milder forms of gastrointestinal illness, and most cases of pseudomembranous colitis, are caused by toxigenic strains of Clostridium difficile.
Clostridium difficile glutamate dehydrogenase is a good antigen marker in feces, because it is produced in high amounts by all strains, toxigenic or non-toxigenic.  A positive result for glutamate dehydrogenase confirms the presence of this organism in a fecal specimen; a negative result indicates the absence of the organism.  A positive result for toxins A/B confirms the presence of toxigenic Clostridium difficile.  The C. DIFF QUIK CHEK COMPLET immunochromatographic cartridge assay determines the presence of both glutamate dehydrogenase and C. difficile toxins A and B as a primary screen for C. difficile infection.
Indeterminant results (GDH positive/toxin A/B negative) are confirmed by the BD MAX C. diff PCR assay.  This two-step algorithm is a cost-effective method for highly sensitive detection of toxigenic Clostridium difficile. 




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.