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2400: Chlamydiae Species Culture Print View
Specimen Source      
Result SHELL VIAL  Not isolated   

PRIMARY
1 Endocervical swab - VCM 1 (1) mL   Frozen - 30 Day(s)/Refrigerated - 48 Hour(s)  
ALTERNATE
  Rectal mucosa(w/o feces)   Frozen - 30 Day(s)/Refrigerated - 48 Hour(s)  
  Universal Transport Media   Refrigerated - 48 Hour(s)/Frozen - 30 Day(s)  
  Conjunctiva-VCM   Frozen - 30 Day(s)/Refrigerated - 48 Hour(s)  
  Vaginal Swab   Refrigerated - 48 Hour(s)/Frozen - 30 Day(s)  
  M4 Transport Media/Swab   Refrigerated - 48 Hour(s)/Frozen - 30 Day(s)  
  Nasal/Nasopharyng Swb-VCM   Refrigerated - 48 Hour(s)/Frozen - 30 Day(s)  
  Nasal Aspirates - VCM   Refrigerated - 48 Hour(s)/Frozen - 30 Day(s)  
  Throat Swab-VCM   Frozen - 30 Day(s)/Refrigerated - 48 Hour(s)  
  Endourethral swab - VCM   Frozen - 30 Day(s)/Refrigerated - 48 Hour(s)  

C. trachomatis is associated with infections of the mucous membranes of the urogenital system, the upper respiratory tract and the eye. It may be sexually transmitted; Resulting diseases include urethritis, cervicitis, salpingitis, epididymitis, proctitis and lymphogranuloma venereum. C.pneumoniae is associated with both upper and lower respiratory infections. Infections of the upper respiratory tract and eye usually occur in new borns exposed at parturition. In adults, eye infection may be transmitted by hand after contact with secretions. Isolation by tissue culture is recommended when testing individuals for legal purposes.

Place swab or nasal aspirate into VCM (equal volumes of fluid and
VCM) or equivalent and transport the specimen to the laboratory as
soon as possible. Best recovery is obtained when the specimens are
refrigerated at 2-8 deg C prior to shipment. Specimens in VCM or
equivalent should be frozen at -70 deg C or colder and transported on
dry ice. Storage or transport at -20 deg C is not acceptable.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
3 days

CPT Codes
87110,87536

The CPT codes provided 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 payer being billed.

Notes
Methodology: Centrifugation-Enhanced Culture with Monoclonal Antibody Detection

Reject Criteria: Specimens submitted in Viral Transport Media that do not support Chlamydia, Wooden shaft and calcium alginate swabs, Bacterial transport systems, Molecular transport systems

Minimum Volume: Nasal aspirate added to equal volume of VCM transport medium or equivalent

Specimen Stability: V-C-M medium or equivalent Room temperature: Unacceptable Refrigerated: 48 hours Frozen -20 deg C: Unacceptable Frozen -70 deg C: 30 days

Other Acceptable Specimens: Vaginal swab on children <13

1. Please supply patient's birth date on Test Requisition Form for Public Health Department reporting. 2. Test code #7437U Chlamydia trachomatis rRNA Detection [TMA] is recommended for URINE specimens. Nucleic acid amplification is the new gold standard for STD detection due to its high sensitivity and specificity. 3. Culture is recommended as the standard for Chlamydia trachomatis detection in suspected sexual abuse.






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