Chlamydia Species Culture [690x] [690]

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
CHLMSP


Alias/See Also
690;
Chlamydia Culture by Shell Vial;
Chlamydia Comment: VCTM submitted;
Chlamydia Isolation


CPT Codes
87110, 87140

Preferred Specimen
Endocervical, Endourethral, or Rectal mucosa (without feces) swab in VTM or other FDA approved equivalent viral transport media


Other Acceptable Specimens
Vaginal swab on children < 13 years old


Instructions
Place swab or nasal aspirate into VCM (equal volumes of fluid and VCM) or equivalent and transport the specimen to the laboratory as soon as possible. Best recovery is obtained when the specimens are refrigerated at 2-C prior to shipment. Specimens in VCM or equivalent should be frozen at -70°C or colder and transported on dry ice. Storage or transport at -20°C is not acceptable.


Transport Container
VCM medium (green-cap) tube or equivalent
-70 degrees Celsius


Transport Temperature
Frozen -70°C


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 48 hours
Frozen -20°C: Unacceptable
Frozen -70°C: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens submitted in Viral Transport Media that do not support Chlamydia; Wooden shaft and calcium alginate swabs; Bacterial transport systems; Molecular transport systems


Methodology
Centrifugation-Enhanced Culture with Monoclonal Antibody Detection

Setup Schedule
Set up: Mon-Sat; Report available: 3 days


Reference Range
Not isolated


Clinical Significance
C. trachomatis is associated with infections of the mucous membranes of the urogenital system, the upper respiratory tract and the eye. It may be sexually transmitted; Resulting diseases include urethritis, cervicitis, salpingitis, epididymitis, proctitis and lymphogranuloma venereum. C.pneumoniae is associated with both upper and lower respiratory infections. Infections of the upper respiratory tract and eye usually occur in newborns exposed at parturition. In adults, eye infection may be transmitted by hand after contact with secretions. Isolation by tissue culture is recommended when testing individuals for legal purposes.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



Last Updated: October 19, 2022


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.