SEXUALLY-TRANSMITTED INFECT PELVIC (PID) PANEL

Test Code

LAB10046

Quest Code

36965

CPT Codes
87491, 87591, 87661, 87563 CPT coding may differ dependent on payer rules which may impact prior authorization testing. Please direct any questions regarding CPT coding to the payer being billed.

Includes

Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital
Trichomonas vaginalis RNA, Qualitative, TMA
Mycoplasma genitalium, rRNA, TMA

Preferred Specimen

1 vaginal or endocervical swab collected in an Aptima® transport tube or
2 mL urine collected in an 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

2 mL urine

Instructions

Vaginal swab: Follow instructions in the Aptima® Multitest Swab Specimen Collection Kit (orange label). Age restrictions may apply. See individual tests for further information.

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 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 tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube label.

Transport Container

See Collection Instructions

Transport Temperature

Room temperature

Specimen Stability

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

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Transport tubes with 2 swabs • Transport tubes with non-Aptima® swabs • Swab transport tubes with no swab • Swab submitted in non-Aptima® transport containers • Urine samples where the fluid level is not between the black fill lines • Urine submitted in non-Aptima® transport containers • Female urine • Patients less than 15 years of age

Methodology
Transcription-Mediated Amplification (TMA)

Setup Schedule

Set up: Mon-Sat; Report available: 3-5 days

Reference Range

Chlamydia trachomatis RNA, TMA, Urogenital	Not detected
Neisseria gonorrhoeae RNA, TMA, Urogenital	Not detected
Trichomonas vaginalis RNA, QL, TMA	Not detected
Mycoplasma genitalium, rRNA, TMA	Not detected

Clinical Significance

Pelvic inflammatory disease (PID) is an infection of the female reproductive organs and often due to sexually transmitted infections. It may be caused by Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and/or Mycoplasma genitalium. Most women are asymptomatic. For those that present with symptoms, the symptoms may include pain in the lower abdomen and pelvis, heavy vaginal discharge with an unpleasant odor, abnormal vaginal bleeding, and pain during intercourse. A panel will help the clinician identify the cause of these symptoms.

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

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.