Chlamydia/N. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA

Test Code
16492


CPT Codes
87491, 87591, 87661

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


Preferred Specimen
1 vaginal swab in Aptima® Transport Tube or
1 endocervical swab in Aptima Transport Tube or
2 mL female urine in 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.

Minimum Volume
1 vaginal swab • 1 endocervical swab • 2 mL urine


Other Acceptable Specimens
Female or male Urine (no preservatives): 2 mL of urine, specimen must be transferred into the Aptima Urine Transport Medium within 24 hours of collection and before being assayed.


Instructions
Vaginal swab: Follow instructions in the Aptima Multitest 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.

Urine: Direct patient to provide a 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 Tube within 24 hours of collection and before being assayed. Use the tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine transport tube must fall within the clear pane of the tube label.


Transport Container
Aptima Transport Tube


Transport Temperature
Room temperature


Specimen Stability
Swab in Aptima Transport
Room temperature: 60 days
Refrigerated: 60 days
Frozen: 6 months

Urine in Aptima Transport
Room temperature: 30 days
Refrigerated: 30 days
Frozen: 6 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Transport tubes with 2 swabs • Transport tubes with non-Aptima swabs • Swab transport tubes with no swab • Specimens in broken containers • Swab submitted in viral transport media • Urine samples where the fluid level is not between the black fill lines • Pap vials


Methodology
Transcription-Mediated Amplification (TMA)

Reference Range
C. trachomatis RNA, TMA, Urogenital Not detected
N. gonorrhoeae RNA, TMA, Urogenital Not detected
T. vaginalis RNA, QL, TMA Not detected


Clinical Significance
To diagnose three sexually transmitted infections associated with vaginitis.


Performing Laboratory
Quest Diagnostics-Seattle
1737 Airport Way S Suite 200
Seattle, WA 98134-1636



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.