Urogenital Culture

Message
Because the agents of disease have specific culture and detection requirements, a routine genital culture is rarely indicated. In most cases, providers should request the appropriate test to identify specific pathogens, such as GC/CHLAMYDIA DNA PROBE, CANDIDA/GARD/TRIC DNA PROBE, etc.



Test Code
1236201110


Alias/See Also
Cervix
Culture
GEN CS
Genital CX


CPT Codes
87070

Preferred Specimen
Specimen collected with an ESwab regular collection kit


Other Acceptable Specimens
Specimen collected in a sterile container
Specimen collected with an ESwab minitip collection kit


Instructions
MALE GENITAL sources: Prostate, Urethra PROSTATE

     1. Cleanse the glans with soap and water.
     2. Massage the prostate through the rectum.
     3. Collect fluid using a single sterile swab.
     4. Label sample noting source of prostate.

URETHRAL
     1. Insert a urethrogenital swab (eSwab mini-tip) 2-4 cm into the urethral lumen, rotate swab, and leave it in place for at least 2 seconds.
     2. Label sample noting source of urethra.

CERVICAL
     1. Remove mucus from cervix with a swab and discard.
     2. Sample endocervical canal with a single sterile swab.

ENDOMETRIAL
     1. Collect transcervical aspirate via telescoping catheter.
     2. Transfer at least 1 mL of fluid into a anaerobic transport system.

URETHRAL
     1. Collect 1 hour after patient has urinated.
     2. Remove exudate from urethral oriface.
     3. Collect discharge using a single sterile swab by massaging the urethra against the pubic symphysis through the vagina.

BARTHOLIN
     1. Disinfect skin with an iodine preparation.
     2. Aspirate fluid from ducts.
     3. Place at least 1 mL of fluid in an anaerobic transport system.


Transport Temperature
Room temperature


Specimen Stability
ESWAB - Room temperature: 48 hours, Refrigerated: 48hrs
OTHERWISE - Room temperature: 24 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Improper specimen collection, storage, and transport


Reference Range
Normal genital flora


Performing Laboratory
Guthrie Clinic Lab



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.