STI Pathogen Panel with reflex ABR

Test Code: TD_M101
CPT Code(s): 87798 X3, 87481, 87591, 87529 X2. Add CPT 87511, 87624 X2, 87661 for females

Test Details

Alternative Name(s)

STI pathogen PCR panel
STD Pathogen Panel

Test Includes

Haemophilus ducreyi
Chlamydia trachomatis
Gardnerella vaginalis (female only)
Neisseria gonorrhoeae
Treponema pallidum
Ureaplasma parvum
Human papillomavirus 16 (female only)
Human papillomavirus 18 (female only)
Herpes simplex virus 1
Herpes simplex virus 2
Trichomonas vaginalis

Methodology

Multiplex real-time polymerase chain reaction (PCR)

Rejection Criteria

At room temperature more than 24 hrs from date of collection
Quantity Not Sufficient for Testing (less than 2 mL of urine)
Any other sample type other than clean catch urine

Reference Range(s)

Not Detected

Specimen Requirements

Preferred Specimen

Clean catch urine, unpreserved

Minimum Volume

2 mL urine

Sample Stability

24 hours room temperature
7 days refrigerated

Transport Temperature

Refrigerated

Collection Instructions

Specimens should be handled as infectious using safe laboratory procedures such as those outlined in CDC guidelines.

1. Instruct the patient to wash hands with soap and water.

2. Provide a labeled urine cup and antiseptic towelette to the patient.

3. Instruct the patient to clean the genital area with the towelette.

4. Instruct the patient to collect urine mid-stream.

5. Instruct the patient to re-cap the urine cup without touching the inside of the cup or the lid.

6. Collect the closed urine sample cup from the patient.

Alternative Specimen

Clean catch urine in C&S preservative