Chlamydia/N. gonorrhoeae, Qualitative, TMA and HSV-1/2 DNA, Real-Time PCR, Pap Vial

Test Code
91436


CPT Codes
87491, 87591, 87529 (x2)

Includes
Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital
Herpes Simplex Virus, Type 1 and 2 DNA, Real-Time PCR, Pap Vial


Preferred Specimen
1 mL PreservCyt® ThinPrep® collected in an Aptima® transport tube or
0.5 mL SurePath™ fluid collected in an Aptima® transport tube


Minimum Volume
1 mL PreservCyt ThinPrep in Aptima transport tube • 0.5 mL SurePath in Aptima transport tube • 2 mL PreservCyt ThinPrep vial • 1 mL SurePath vial


Other Acceptable Specimens
2 mL PreservCyt ThinPrep vial • 1 mL SurePath vial


Instructions

Aptima transport tubes accepted: Aptima Multitest Collection Tube (orange label), Aptima Unisex Swab Specimen Collection Kit Tube (white label), Aptima Specimen Transfer Tube (green label)

Labs performing cytology: Aliquot PreservCyt ThinPrep or SurePath solution within 4 days of collection and before performance of liquid-based cytology testing

PreservCyt ThinPrep: Sample any visible lesions. Transfer 1 mL of PreservCyt solution into Aptima transfer tube. Ship to lab.

SurePath: Sample any visible lesions. Transfer 0.5 mL of SurePath preservative fluid into Aptima transfer tube. Ship to lab.



Transport Container
Aptima transport tube


Transport Temperature
Room temperature


Specimen Stability
Aptima transport tube
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 14 days

ThinPrep and SurePath fluid vial
Room temperature: 4 days
Refrigerated: 4 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
PreservCyt ThinPrep or SurePath material previously processed for cytology • PreserveCyt ThinPrep or SurePath with excess mucus • Specimens submitted in Aptima tubes with pierced foil lids


Methodology
Real-Time Polymerase Chain Reaction • Transcription-Mediated Amplification (TMA)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range
C. trachomatis RNA, TMA Not detected
N. gonorrhoeae RNA, TMA Not detected
HSV-1 DNA Not detected
HSV-2 DNA Not detected


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


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
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.