Culture, Gonorrhoeae

Message
Performed in the Microbiology Laboratory x65785. Eye, Throat, Rectal. Culture primarily used for sources not approved for RNA-TMA testing. Call lab x 65785 to obtain JEMBEC agar plate. Do not use outdated media. Bring JEMBEC to room temperature before innoculation. Roll swab on agar. Place the CO2 generating tab in the well at the side of the plate and place the plate into the small polyethylene bag and seal to create a CO2 enriched environment. Send to lab immediately.


Test Code
CXGON


Alias/See Also
Gonnorrhoea Culture, GC Screen, Neissera gonorrhoeae Screen


CPT Codes
87081

Includes
Neisseria gonnorrhoeae culture and confirmatory identification of isolates. Reflex to additional bacterial isolate identification if pathogenic organisms are isolated.
Neisseria gonnorrhoeae  isolates will be forwarded to Mass. Dept of Public Health in accordance with M.G.L.c.111D.s.6


Preferred Specimen
Eye, Genital, Rectal and Throat swab. (Rectal: swab the anal crypts just inside the anal ring. Avoid fecal contamination as much as possible.)


Instructions
Eye  swabs premoistened with saline, (Conjunctiva),  Throat- (pharyngeal) swab  
For Rectal: Carefully insert swab beyond anal sphincter and gently rotate to sample anal crypts.

Place patient label on agar side of plate.
Place CO2 generating tablet in the well on the agar side of the plate.
Obtain specimen with culture swab.
Roll the swab onto the agar medium in an S formation.
Place the closed JEMBEC plate in the small polyethylene bag provided with the plate and seal to keep in the CO2.
Place the small, bagged JEMBEC plate into the biohazard transport bag and send to lab immediately.


Transport Container
JEMBEC media


Transport Temperature
Room Temperature 


Specimen Stability
Inoculuated agar must be in lab within 30 minutes.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Not received in lab within 30 minutes of collection.


Methodology
Culture

Setup Schedule
Test performed Sunday through Saturday 6am- 11pm


Limitations
Not using the CO2 generating tablet or failure to transport to Microbiology within 30 minutes will compromize detection of N.gonorrhoeae
 


Reference Range
No growth


Performing Laboratory
Microbiology  x65785/ x65786



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.