Chlamydia trachomatis, TMA (Alternate Target), Urogenital

Chlamydia trachomatis, TMA (Alternate Target), Urogenital

Test Code

15031
87491
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
15031
87491
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
In-home collection may be available in your area for purchase through Quest Mobile.

Clinical Significance

Chlamydia trachomatis, TMA (Alternate Target), Urogenital - Several methods are available for the detection of C. trachomatis in clinical specimens, including giemsa staining of tissue, fluorescent antibody staining, culture, and nucleic acid detection. Although culture is very specific, it lacks sensitivity, so recommendations have been put forth to include multiple tests in assisting with a diagnosis of infection, including tests such as the CT/NG Aptima TMA Assay.

Test Details

Methodology

Dual Kinetic Assay (DKA) • Target Capture • Transcription-Mediated Amplification (TMA)

Reference Range(s)

Not detected

Alternative Name(s)

CT APTIMA®,CT TMA

LOINC® Codes, Performing Laboratory

Methodology

Dual Kinetic Assay (DKA) • Target Capture • Transcription-Mediated Amplification (TMA)

Reference Range(s)

Not detected

Alternative Name(s)

CT APTIMA®,CT TMA

Preferred Specimen(s)

1 vaginal, endocervical or urethral swab collected in an Aptima® Vaginal Swab Specimen Collection kit or Multitest collection kit, or Unisex swab specimen collection kit or
2 mL urine with no preservative transferred into an Aptima® urine collection kit or
1 mL PreservCyt® (ThinPrep®) transferred into Aptima® Specimen Transfer tube (green label) or Aptima® Vaginal Swab Specimen Collection kit or Multitest collection kit Collection tube (orange label)

Collection Instructions

Swabs: Swab must be submitted in Aptima® Multitest Collection Kit (orange label), or Unisex Swab Specimen Collection Tube (white label). Follow instructions in the Aptima® Specimen Collection Kits for Vaginal, Endocervical and Urethral Swab Specimens package insert. In females, to ensure collection of an adequate specimen, columnar epithelial cells lining the endocervix should be obtained. To that effect, excess mucus should be removed prior to sampling by using the white shaft cleaning swab which is discarded after use.
Collection Container: Aptima® Multitest Collection Kit (orange label), or Unisex Swab Specimen Collection Kit (white label).

Urine: Urine must be submitted in Aptima® Urine Specimen Collection Tube within 24 hours of collection. The patient should not have urinated for at least one hour prior to specimen collection. Direct patient to provide a first-catch urine (approximately 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity. Female patients should not cleanse the labial area prior to providing the specimen. Thus, a urine sample collected from a female for Chlamydia/GC TMA cannot be collected at the same voiding event as that urine which would be intended for bacterial culture. Remove the cap of the Aptima® Urine Specimen Collection Tube and transfer 2 mL of urine into the urine specimen transport tube using the disposable pipette provided. The correct volume of urine has been added when the fluid level is between the black lines within the clear pane on the urine specimen transport tube label.
Collection Container: Aptima® Urine Specimen Collection Tube.

PreservCyt® (ThinPrep®): Transfer 1 mL of ThinPrep PreservCyt solution into Aptima® Specimen Transfer Tube (green label) or Aptima® Multitest Collection Tube (orange label).

IMPORTANT: Please review the Specimen Collection instructions Specimen Collection guides for Aptima for this test

Transport Container

Aptima® transport tube

Transport Temperature

Room temperature

Specimen Stability

  • Endocervical, urethral and vaginal swabs
    Room temperature: 60 days
    Refrigerated: 60 days
    Frozen: 1 year

    Urine in Aptima® urine collection kit
    Room temperature: 30 days
    Refrigerated: 30 days
    Frozen: 1 year

    PreservCyt® solution specimen in Aptima®
    Room temperature: 14 days
    Refrigerated: 30 days
    Frozen: 1 year

Reject Criteria

Transport tubes with 2 swabs • Non-Aptima® transport tubes and swabs • Transport tubes containing white cleaning swabs • Over or underfilled Aptima® urine tubes

Setup Schedule

1 vaginal, endocervical or urethral swab collected in an Aptima® Vaginal Swab Specimen Collection kit or Multitest collection kit, or Unisex swab specimen collection kit or
2 mL urine with no preservative transferred into an Aptima® urine collection kit or
1 mL PreservCyt® (ThinPrep®) transferred into Aptima® Specimen Transfer tube (green label) or Aptima® Vaginal Swab Specimen Collection kit or Multitest collection kit Collection tube (orange label)
Swabs: Swab must be submitted in Aptima® Multitest Collection Kit (orange label), or Unisex Swab Specimen Collection Tube (white label). Follow instructions in the Aptima® Specimen Collection Kits for Vaginal, Endocervical and Urethral Swab Specimens package insert. In females, to ensure collection of an adequate specimen, columnar epithelial cells lining the endocervix should be obtained. To that effect, excess mucus should be removed prior to sampling by using the white shaft cleaning swab which is discarded after use.
Collection Container: Aptima® Multitest Collection Kit (orange label), or Unisex Swab Specimen Collection Kit (white label).

Urine: Urine must be submitted in Aptima® Urine Specimen Collection Tube within 24 hours of collection. The patient should not have urinated for at least one hour prior to specimen collection. Direct patient to provide a first-catch urine (approximately 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity. Female patients should not cleanse the labial area prior to providing the specimen. Thus, a urine sample collected from a female for Chlamydia/GC TMA cannot be collected at the same voiding event as that urine which would be intended for bacterial culture. Remove the cap of the Aptima® Urine Specimen Collection Tube and transfer 2 mL of urine into the urine specimen transport tube using the disposable pipette provided. The correct volume of urine has been added when the fluid level is between the black lines within the clear pane on the urine specimen transport tube label.
Collection Container: Aptima® Urine Specimen Collection Tube.

PreservCyt® (ThinPrep®): Transfer 1 mL of ThinPrep PreservCyt solution into Aptima® Specimen Transfer Tube (green label) or Aptima® Multitest Collection Tube (orange label).
IMPORTANT: Please review the Specimen Collection instructions Specimen Collection guides for Aptima for this test
Aptima® transport tube
Room temperature
Endocervical, urethral and vaginal swabs
Room temperature: 60 days
Refrigerated: 60 days
Frozen: 1 year

Urine in Aptima® urine collection kit
Room temperature: 30 days
Refrigerated: 30 days
Frozen: 1 year

PreservCyt® solution specimen in Aptima®
Room temperature: 14 days
Refrigerated: 30 days
Frozen: 1 year
Transport tubes with 2 swabs • Non-Aptima® transport tubes and swabs • Transport tubes containing white cleaning swabs • Over or underfilled Aptima® urine tubes
In-home collection may be available in your area for purchase through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance 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.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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