A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Genital Culture

Message
Testing performed at York Hospital Laboratory.

Anaerobes will not be cultured routinely from these sites. Order Code CSANA for Anaerobic Culture.
If positive, an identification and sensitivity will be performed at an additional charge. 
Please deliver specimens to the lab within 2 hours of collection.


Test Code
CSGENI


CPT Codes
87070

Preferred Specimen

Female

  • Cervical, urethral, vaginal swabs
  • Bartholin cyst or gland secretions
  • Endometrial tissue or secretions
  • IUD

Male

  • Urethral, penile swabs
  • Specimens from epididymis, testes, prostate
Please specify specimen type.
 


Instructions
  • Cervix: Visualize cervix using speculum without lubricant. Wipe cervix clean of mucus and secretions with sterile swab. Discard the swab. Firmly yet gently sample the endocervical canal with a new sterile swab.
  • Urethral (female): Collect at least 1 hour after patient has urinated. Remove old exudates from urethral orifice. Collect discharge material on swab.
  • Vaginal: Wipe away any excess secretions. Swab mucosa high in vaginal canal with a swab.
  • Urethral (male): Wipe exudate from urethral orifice and massage urethra with sterile swab. If discharge cannot be obtained, insert a small swab at least 2-4cm into the urethral lumen, rotate the swab, and leave it in place for at least 2 seconds to facilitate absorption before removing.
  • Bartholin cyst or gland secretions: Disinfect skin with iodine. Anaerobic culture is recommended for this specimen type. Collect using a Port-a-Cul anaerobic transport system or collect at least 1.0mL fluid (recommended).
  • Endometrial tissue or secretions: Collect transcervical aspirate via telescoping catheter. Anaerobic culture is recommended for this specimen type. Transfer specimen to a Port-a-Cul anaerobic transport system or collect at least 1.0mL fluid (recommended).
  • IUD: Place IUD in a sterile cup. Do not add saline.
     


Transport Container
Swab in Amies Transport Media or
Sterile Container, Leak-Proof


Transport Temperature
Room Temperature


Specimen Stability
Room temperature: 24 hours
Refrigerated: 48 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
IUD in a cup with saline.


Methodology
Culture

Setup Schedule
Daily


Report Available
Negative Culture - Finalized at 3 days


Limitations
Swabs collect in non-Amies media are unacceptable for culturing N. gonorrhoeae. The following comment will be attached to any culture collected with a non-Amies swab: "Unable to rule out GC due to improper specimen collection".




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.