C TRACHOMATIS AND N GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION, ThinPrep®

Additional Codes

Software	Test Code
SoftID	CGTHN
EPIC	LAB10907

Performing Laboratory

NorDx Laboratories

Useful For

Routine screening of asymptomatic women who are also having a PAP smear. For symptomatic women or if no PAP smear is ordered, use our standard specimen collection kit for Chlamydia Trachcomatis and Neisseria gonorrhoeheae and order test code CT/GC.

Method Name

Polymerase Chain Reaction (PCR)

This assay is a lab developed test established by the NorDx Molecular Pathology Laboratory. This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Reference Values

Negative for Chlamydia trachomatis

Negative for Neisseria gonorrhoeae

If positive, reported as positive for Chlamydia trachomatis DNA or positive for Neisseria gonorrhoeae DNA.

Days and Times Test Performed

3 days weekly

Varies

Report Available

1 Day

Profile Information

Individual Test Description
CHLAMYDIA DNA THINPREP
GONORRHEA DNA THINPREP

Specimen Type

Empyema

Preferred Container

Preservcyt® Vial

Specimen Collection and Handling

1. Rinse by swishing the appropriate collection device(s) [brush/broom/spatula] at least 10 times into PreservCyt® solution vial supplied by NorDx. Replens® lubricant, spermicidal agents and feminine powder sprays may interfere with the assay and should not be used prior to collection.

2. LABEL THE PRESERVCYT® VIAL WITH THE PATIENT’S NAME (FIRST AND LAST), DATE OF COLLECTION, AND SOURCE OR SPECIMEN. UNLABELED SPECIMENS WILL NOT BE PROCESSED.

3. THIS TEST SHOULD NOT BE USED FOR THE DIAGNOSIS OF GENITAL TRACT INFECTIONS IN PREPUBERTAL CHILDREN FOR POSSIBLE EVALUATION OF SEXUAL ABUSE.

Note: CGTHN may be performed as an add-on after PAP.

Add On Capable

Yes

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code	CPT Description	CPT Disclaimer
87491	Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia trachomatis, Amplified Probe Technique
87591	Infectious Agent Detection by Nucleic Acid (DNA or RNA), Neisseria gonorrhoeae, Amplified Probe Technique

Performing Laboratory Location