Streptococcus Group B DNA, PCR with Broth Enrichment and Reflex to Susceptibility

Test Code
91770


CPT Codes
87081, 87150

Includes
If Streptococcus Group B DNA, PCR is Detected, then Susceptibility, Aerobic Bacteria, MIC will be performed at an additional charge (CPT code(s): 87186 or 87184).


Preferred Specimen
Vaginal/Rectal swab collected in ESwab, Amies gel (blue-cap) transport medium, or Amies liquid (red-cap) transport medium


Other Acceptable Specimens
Vaginal/rectal swab collected in a liquid Stuart transport medium


Instructions
In order to obtain an adequate specimen, the procedure for specimen collection must be followed closely.

Using recommended swab, vaginal-rectal specimens are collected according to the following procedure:
1. Wipe away excessive amount of secretion or discharge from the vaginal area.
2. Carefully insert the swab into the lower one-third part of vagina, and sample secretions from the mucosa.
3. Carefully insert the same swab, approximately 2.5 cm beyond the anal sphincter, and gently rotate to sample anal crypts.
4. Replace the swab in its container.

Note: Endocervical, perianal, perineal and perirectal are not to be used for this test, and a speculum should not be used for culture collection.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 24 hours
Refrigerated: 6 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received frozen • Specimens in transport media other than those listed • LIM broth received room temperature


Methodology
Culture Enhanced • Polymerase Chain Reaction (PCR)

Setup Schedule
Set up: Daily; Report available: 3-4 days


Reference Range
Not detected


Clinical Significance
Detect Group B Streptococcus (GBS) vaginal/rectal colonization to prevent GBS sepsis and other GBS infections in newborns.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.