Amnisure Fetal Rupture of Memb

Message
Collector/strip must match(send packaging to lab)


Test Code
AMNI


CPT Codes
84112

Preferred Specimen

AmniSure ROM Test Swab




Other Acceptable Specimens
None


Instructions
To collect a sample from the surface of the vagina, use the sterile polyester swab provided with the AmniSure ROM Test. Remove the sterile swab from its package and follow the instructions on the packaging. The polyester tip of the swab should not touch anything prior to insertion into vagina. Hold the swab in the middle of its shaft and, while the patient is lying on their back, carefully insert the polyester tip of the swab into the vagina until the fingers contact the skin (no more than 2-3 inches or 5-7 cm deep). Withdraw the swab from the vagina after one minute.


Transport Temperature
Room Temperature


Specimen Stability
ASAP


Reference Range
Negative


Performed By
RFGH Laboratory

Performing Laboratory
RFGH Laboratory



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.