Vaginosis/Vaginitis/STD Panel by NAAT, Vaginal Swab : 1015865

Test Code
BVTRICHCAGGCTRNA or 1015865

Alias/See Also
Trichomonas vaginalis; Candida albicans; Candida glabrata; Lactobacillus species; Gardnerella vaginalis; Atopobium vaginae; Neisseria gonorrhoeae; Chlamydia trachomatis

CPT Codes
87481x2, 87798x2, 87661, 87491, 87591, 87511

Includes
This test orders and reports the following individual tests:

Test Name                                                                                                                                           Order Code            Interface Code       
Bacterial Vaginosis by Multiplex Quantitative real time PCR, Vaginal Swab                                                    BVMOL                  1005024
STD Panel 1 by NAAT                                                                                                                             STDP1                     1004442
Candida albicans and Candida glabrata by Qualitative PCR                                                                         CAGPCR                 1004189

NOTE:  STD Panel 1  by NAAT includes:    Neisseria gonorrhea, Chlamydia trachomatis, and Trichomonas vaginalis

Instructions
Vaginal Specimens: APTIMA Vaginal Swab Collection Kit (Client Supply # B30079)
1. Collect vaginal fluid sample using the Gen-Probe APTIMA vaginal swab kit by contacting the swab to the lower third of the vaginal wall and rotating the swab for 10 to 30 seconds to absorb fluid.
2. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube.
3. Tightly screw on the cap.
4. NOTE: The APTIMA Vaginal Swab Collection Kit is the only Collection Kit approved for vaginal specimens. DO NOT use the APTIMA Combo 2 Unisex Swab Collection Kit for collecting vaginal specimens.

Transport Container
Refer to specimen collection instructions for submission in Aptima transport tube.

Transport Temperature
Ambient.

Specimen Stability
Aptima Vaginal Swab: Ambient: 60 days; Refrigerated: 60 days; Frozen: Unacceptable

Methodology
Nucleic acid amplification testing (NAAT)

Setup Schedule
Monday & Wednesday & Friday

Report Available
3-5 days

Reference Range
Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis, Candida albicans and Candida glabrata : Target Not Detected (TND)

Bacterial vaginosis: Total DNA ≥ 106 copies/mL, Lactobacillus spp. DNA no less than Total DNA
and G. vaginalis and A. vaginae < Lactobacillus spp. DNA

Clinical Significance
Bacterial, yeast and parasitic infections in women typically cause vaginitis, urethritis, and cervicitis. Common symptoms include vaginal discharge, vulvovaginal irritation, and/or dysuria. However, recurrent and/or untreated infections can result in ectopic pregnancy, infertility, and the possible risk of physical and developmental disabilities in fetus, including fetal death in few cases. Healthcare providers must assess the risk of infections and provide counseling for prevention and treatment for all women of childbearing age. Nucleic acid amplification testing (NAAT) is analytically more sensitive than culture and antigen detection methods and is recommended for screening and prevention. The bacterial vaginosis/ vaginitis/STD panel provides efficient and accurate testing solutions for bacterial vaginosis, STIs and vaginitis from yeast and trichomonas infections using molecular techniques with well-established clinical correlation from a single swab collection. It detects bacterial vaginosis, Trichomonas vaginalis; Chlamydia trachomatis, Neisseria gonorrhea, Candida albicans and C glabrata. Bacterial vaginosis is detected by quantitative ratios of specific anaerobic microflora such as Gardrenella vaginalis and Atopobium vaginae in relation to Lactobacillus spp., which are highly sensitive and specific for the diagnosis of bacterial vaginosis and is associated with disease recurrence. This helps physicians to get multiple actionable results in a timely manner using clinically-proven technologies.

Performing Laboratory
med fusion



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.