C. difficile PCR with reflex to toxin EIA assay

Test Code
LAB6159


CPT Codes
87493

Preferred Specimen
Unformed Stool


Transport Container
Sterile Container


Specimen Stability
Room Temperature


Methodology
PCR and EIA

Setup Schedule
Daily


Clinical Significance
The Cepheid Xpert C. difficile/Epi Assay is a rapid, automated in vitro diagnostic test for  qualitative detection of toxin producing Clostridioides difficile directly from unformed (liquid or soft) stool specimens of patients suspected of having Clostridioides difficile infection (CDI). The assay detects the toxin B gene (tcdB), the binary toxin gene (CDT), and the single-base-pair deletion at nucleotide 117 within the gene encoding a negative regulator of toxin production (tcdCΔ117). The combined presence of the genes encoding toxin B and binary toxin and the tcdCΔ117 deletion have been associated with a hyper virulent C. difficile strain known as 027/NAP1/BI, which has been associated with severe disease outbreaks in healthcare facilities worldwide


Performing Laboratory
GBMC Microbiology



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.