Chlamydia/N. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial

Test Code
91448


CPT Codes
87491, 87591, 87661

Includes
Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital
Trichomonas vaginalis RNA, Qualitative, TMA, Pap Vial


Preferred Specimen
1 mL liquid cytology (PreservCyt®) Preservative (ThinPrep®) submitted in an Aptima® Transport Tube (green label) or 0.5 mL SurePath™ fluid submitted in an Aptima® Transport Tube (green label)


Minimum Volume
1 mL liquid cytology (PreservCyt®) preservative • 0.5 mL SurePath™ preservative fluid


Other Acceptable Specimens
Aptima® Unisex Swab Collection Kit


Instructions
Preservcyt® or SurePath™ material already processed for cytology or Pap are not acceptable.

⁠⁠⁠⁠⁠⁠⁠Labs performing cytology: Aliquot ThinPrep® solution before performance of liquid based cytology testing.

ThinPrep®: Transfer 1 mL PreservCyt® solution into APTIMA® Specimen Transfer Tube (green label).

SurePath™: SurePath™ fluid must be transferred to Aptima® tube within 4 days of collection. Transfer 0.5 mL SurePath™ solution into Aptima® Specimen Transfer Tube (green label).


Transport Temperature
Room temperature


Specimen Stability
PreservCyt® fluid in Aptima® Transport Tube
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days

PreservCyt® (ThinPrep®) vial
Room temperature: 30 days
Refrigerated: 30 days
Frozen: 1 year

SurePath™ fluid in Aptima® Transport Tube
Room temperature: 14 days
Refrigerated: 14 days
Frozen: Unacceptable

SurePath™ fluid vial
Room temperature: 4 days
Refrigerated: 4 days
Frozen: Unacceptable



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
ThinPrep® or SurePath™ material previously processed for cytology • ThinPrep® with excess mucus • SurePath™ vials without the head of the collection device(s) in the fluid • All liquid based cytology vials unlabeled vial • Leakage of fluid during transport • SurePath™ vials received empty • Mismatch between name of patient on vial and name on test requisition • Expired vials • Cervical swabs in Digene® HC cervical sampler • Acellular pap adequacy


Methodology
Transcription-Mediated Amplification (TMA)

Setup Schedule
Set up: Daily; Report Available: 1-2 days


Clinical Significance
Diagnosis of the three most common sexually transmitted infections.




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.