Amnisure Rupture of Membranes Test

Message

This test uses immunochromatography to detect human PAMG-1 (placental alpha-1 microglobulin) protein which is present in amniotic fluid.

Test Code

AMNS

CPT Codes
84112

Preferred Specimen

Swab mixed with Collection Broth contained in Kit

Other Acceptable Specimens

none

Instructions

Must have collection broth vial for collection of specimen.

Transport Container

SPECIAL/1

Specimen Stability

30 min Room Temperature, 6 hrs refrigerated

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Performance of Amnisure has not been established in the presence of the following contaminants: meconium, anti-fungal creams or suppositories, K-Y Jelly, Baby Powder or baby oil.

Methodology
Immunochromatography

Setup Schedule

Daily on Receipt

Report Available

24/7

Reference Range

Negative Result indicates no Amniotic Fluid Detected

Positive Result indicates Amniotic Fluid Detected

Clinical Significance

Detection of amniotic fluid in vaginal discharge of pregnant patient with symptoms suggestive of ruptured membrane. This testing is used in conjunction with the algorithim used to determine premature delivery status.

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.