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®) in Aptima® Transport Tube (green label) or
0.5 mL SurePath™ preservative fluid in Aptima® Transport Tube (green label)


Minimum Volume
1 mL PreservCyt (ThinPrep) in Aptima transfer tube • 0.5 mL SurePath fluid in Aptima transfer tube


Instructions
PreservCyt or SurePath material already processed for cytology or Pap are not acceptable.

Labs performing cytology: Aliquot PreservCyt solution before performance of liquid-based cytology testing.

PreservCyt: 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 tube
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days

SurePath fluid in Aptima tube
Room temperature: 14 days
Refrigerated: 14 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


Reference Range
C. trachomatis RNA, TMANot detected
N. gonorrhoeae RNA, TMANot detected
T. vaginalis RNA, TMANot detected


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


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



Last Updated: November 6, 2024


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.