Bacterial Vaginosis/Vaginitis Panel

Test Code
AFFRM


Alias/See Also
BD Affirm


CPT Codes
87480,87510,87660

Includes
Candida species, Trichomonas vaginalis, Gardnerella vaginalis 


Preferred Specimen
Swab in AFFIRM(TM) VPIII Ambient Temperature Transport System (ATTS) 


Instructions
Open the seal on outer plastic pouch of AFFIRM(TM) VPIII Ambient Temperature Transport System (ATTS) and remove all components. Each plastic pouch contains enough material for the collection and transport of one vaginal specimen. Tear open the foil pouch and remove the ATTS Reagent dropper. Break ampoule in ATTS Reagent Dropper by firmly squeezing the vial with finger and thumb. Break ampoule close to its center one time only.
 
DO NOT MANIPULATE DROPPER ANY FURTHER AS THE PLASTIC MAY PUNCTURE AND INJURY MAY OCCUR.
 
Dispense reagent from ATTS Reagent Dropper into Sample Collection Tube (SCT). Peel wrapper to expose patient swab. Remove swab. Discard wrapper.
 
Vaginal Sample Collection:
* Label the Sample Collection Tube (SCT) with the patient identification information. Include the time and date the sample was collected.
* Place the patient in position for a pelvic examination. Insert to permit visualization of the posterior vaginal fornix.
* Using the sterile polyester [Dacron(TM)] swab obtain a sample from the posterior vaginal fornix. Twist or roll the swab against the vaginal wall two or three times, ensuring the entire circumference of the swab has touched the vaginal wall. Swab the lateral vaginal wall while removing the swab.
* Immediately place the swab into the Sample Collection Tube (SCT) containing the ATTS reagent.
* With the swab touching the BOTTOM of the collection tube, grasp the pre-scored handle of the swab just above the top of the tube and bend until the swab breaks. When the swab is fully inserted into the collection tube, the score mark on the swab is approximately 1 cm above the collection tube. Discard the broken handle into an infectious waste container.
* Place the cap over the exposed end of the swab and firmly press the cap onto the tube. For specimen collection, use ONLY the AFFIRM(TM) VPIII
Ambient Temperature Transport System.

Separate swabs should be used for other tests, e.g. culture or microscopic slide samples. 


Transport Container
AFFIRM(TM) VPIII Ambient Temperature Transport System (ATTS) 


Transport Temperature
Room Temperature


Specimen Stability
Room Temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Frozen specimens, Specimen >72 hours old, specimens in expired transport media


Methodology
DNA Probe

Setup Schedule
Daily


Report Available
Report is available in 24 hours




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.