STREP GP B DNA,PCR,W-RFL

Test Code
91770X


CPT Codes
PROF

Includes
If Streptococcus Group B DNA, PCR is Detected, Susceptibility, Aerobic Bacteria, MIC will be performed at an additional charge (CPT code(s): 87186 or 87184).


Preferred Specimen
Preferred:
Vaginal/Rectal swab in Amies gel (blue-cap) transport
medium or Amies liquid (red-cap) transport medium
Acceptable:
Vaginal/Rectal swab in Liquid Stuart transport medium
OR
2 mL LIM broth tube (pre-incubated)
No other specimens are acceptable

Instructions:
In order to obtain an adequate specimen, the procedure
for specimen collection must be followed closely. Using
recommended swab, vaginal-rectal specimens are
collected according to the following procedure:

1. Wipe away excessive amount of secretion or discharge
from the vaginal area.
2. Carefully insert the swab into the lower one-third
part of vagina, and sample secretions from the mucosa.
3. Carefully insert the same swab, approximately 2.5 cm
beyond the anal sphincter, and gently rotate to sample
anal crypts.
4. Replace the swab in its container.

If submitting broth, inoculate LIM Broth with vaginal/
rectal swab and incubate at 35-37 C for 18-24 hours.

Note: Endocervical, perianal, perineal and perirectal
are not appropriate samples for this test. Do not use a
speculum for collection


Specimen Stability
Vaginal/Rectal swab:
Room temperature: 24 hours
Refrigerated: 6 days
Frozen: Unacceptable

LIM broth tube:
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens in transport media other than those listed;
received frozen; LIM broth received at room temperature


Methodology
Culture Enhanced • Polymerase Chain Reaction (PCR)

Setup Schedule
Set up: Sun-Fri; Report available: 3 days for negatives
Additional 3 days if suceptibility performed


Reference Range
Not detected


Clinical Significance
Detect Group B Streptococcus (GBS) vaginal/rectal colonization to prevent GBS sepsis and other GBS infections in newborns.


Performing Laboratory
Quest Diagnostics HORSHAM



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.