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Amnisure Fetal Rupture of Memb
MessageCollector/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

