Pelvic inflammatory disease (PID) is an infection of the female reproductive organs and often due to sexually transmitted infections. It may be caused by Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and/or Mycoplasma genitalium. Most women are asymptomatic. For those that present with symptoms, the symptoms may include pain in the lower abdomen and pelvis, heavy vaginal discharge with an unpleasant odor, abnormal vaginal bleeding, and pain during intercourse. A panel will help the clinician identify the cause of these symptoms.
Urine: Patient should not have urinated within one hour prior to
collection. Female patients should not cleanse the labial area
prior to providing the specimen.
Vaginal swab: Follow instructions in the APTIMA(R)
Multitest Swab Specimen Collection Kit(orange label)
or an APTIMA(R) Vaginal Swab Collection Kit(orange label)
Endocervical Swab: Follow instructions in the APTIMA(R)
Unisex Swab Specimen Collection Kit (white label). In
females, to ensure collection of cells infected with N.
gonorrhoeae/C. trachomatis, columnar epithelial cells
lining the endocervix should be obtained. Excess mucus
should be removed prior to sampling.
Female Urine: Direct patient to provide first-catch urine
(a maximum of 20-30 mL of the initial urine stream) into
a urine collection cup free of any preservatives. 2 mL of
urine specimen must be transferred into the APTIMA(R)
specimen transport within 24 hours of collection and
before being assayed. Use tube provided in the urine
specimen collection kit. The fluid (urine plus transport
media) level in the urine tube must fall within the clear
pane on the tube label.
Preservcyt(R): Transfer 1 mL of Preservcyt(R) solution into APTIMA(R)
specimen transfer tube (green label) or APTIMA(R) vaginal collection
tube (orange label) or Multitest Collection Tube (orange label)
or Unisex swab specimen collection kit (white label).
Reported (Analytical Time)
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.
Reject Criteria: Transport tubes with 2 swabs; transport tubes with Non-APTIMA(R) swabs; swab transport tubes with no swab; swab or urine submitted in Non-APTIMA(R) transport tube; urine samples where the fluid level is not between the black fill lines; raw urine; ThinPrep(R) vial; male urine Transport Temperature: Room temperature Methodology: Transcription-Mediated Amplification, Real-Time Polymerase Chain Reaction