Clostridium difficile Toxigenic bacterial DNA, Feces

Message
Specimen must be received in the Lab by 11AM to be tested the same day. Day(s) Test Set Up Daily


Test Code
CDIFF


CPT Codes
87493

Preferred Specimen
2 g Fresh stool


Instructions
1. Collect a fresh, liquid stool specimen directly into a sterile, leakproof container. 2. Or. Place a toilet cap or piece of clean wax paper over the toilet seat. 3. Transfer the specimen to the sterile container.  Note:  Avoid recent antibiotics, x-ray contrast material, antidiarrheal medications, antacids, bismuth, or oil instillation. And because of increased sensitivity and specificity of this test method, repeat testing during the same episode of diarrhea (C-Diff  x 3) is not needed  or required.
  Transport the specimen to the Lab without delay.


Transport Container
Sterile, leakproof container


Transport Temperature
Refrigerate


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Stool/feces contaminated with urine. Received in preservative. Solid stool.


Methodology
Molecular assay

Setup Schedule
Daily after 11am


Reference Range
Not Detected


Clinical Significance
Useful for the detection of the Clostridium difficile Toxin A gene (tcdaA) in unformed  stool samples of patients having Clostridium difficile-associated disease. Clostridium difficile has been associated with colitis secondary to antimicrobial therapy.



Last Updated: June 28, 2018


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.