Sexually-Transmitted Infections (STIs) Cervicitis Panel

Test Code
36962


CPT Codes
87491, 87591, 87661, 87563

Includes
Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital
Trichomonas vaginalis RNA, Qualitative, TMA
Mycoplasma genitalium, rRNA, TMA


Preferred Specimen
Vaginal or endocervical swab collected in an Aptima® transport tube or
2 mL urine collected in an Aptima® transport tube


Patient Preparation
Urine: Patient should not have urinated within one hour prior to collection. Female patients should not cleanse the labial area prior to providing the specimen.

Instructions
Vaginal swab: Follow instructions in the Aptima® Multitest Swab Specimen Collection Kit (orange label) or an Aptima® Vaginal Swab Specimen Collection Kit (orange label).

Endocervical swab: Follow instructions in the Aptima® Unisex Swab Specimen Collection Kit (white label). In females, to ensure collection of cells infected with N. gonorrhoeae/C. trachomatis, columnar epithelial cells lining the endocervix should be obtained. Excess mucus should be removed prior to sampling.

Female urine: Direct patient to provide first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the Aptima® specimen transport within 24 hours of collection and before being assayed. Use tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube label.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Transport tubes with 2 swabs • Transport tubes with Non-Aptima® swab • Swab transport tubes with no swab • Swab or urine submitted in Non-Aptima® Transport tube • Urine samples where the fluid level is not between the black fill lines • Raw urine • ThinPrep® vial • Male urine


Methodology
Transcription-Mediated Amplification (TMA)

Setup Schedule
Sets up 6 days a week.


Report Available
Reports in 3 to 5 days.


Clinical Significance
Cervicitis is an inflammation of the cervix and can be related to sexually transmitted infections. It may be caused by Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and Mycoplasma genitalium. Most women are asymptomatic. For those that present with symptoms, the symptoms are vaginal discharge, abnormal vaginal bleeding and pain during intercourse. A panel will help the clinician identify if the woman has an STI as the cause of Cervicitis.




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.