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SureSwab®, Advanced Bacterial Vaginosis (BV), TMA

Test Code: 10016

CPT Code(s): 81513

Includes: Lactobacillus spp., Atopobium vaginae, Megasphaera spp. and Gardnerella vaginalis

Methodology: Real-Time Polymerase Chain Reaction (RT-PCR)

Reference Range(s): See Laboratory Report

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SurePath Imaging Pap - Broom

Test Code Test Name CPT Code
18810 Pap 88175 (HCPCS: G0145)
18811 Pap reflex HPV mRNA E6/E7 (age <21) 88175 (HCPCS: G0145)
18813 Pap and HPV mRNA E6/E7 ages 30-65) 88175 (HCPCS: G0145), 87624
18828 Pap and HPV mRNA E6/E7,C. trachomatis, N. gonorrhoeae 88175 (HCPCS: G0145), 87624, 87491, 87591
18829
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SurePath Imaging Pap - Spatula & Brush

Test Code Test Name CPT Code
18810 Pap 88175 (HCPCS: G0145)
18811 Pap reflex HPV mRNA E6/E7 (age <21) 88175 (HCPCS: G0145)
18813 Pap and HPV mRNA E6/E7 ages 30-65) 88175 (HCPCS: G0145), 87624
18828 Pap and HPV mRNA E6/E7,C. trachomatis, N. gonorrhoeae 88175 (HCPCS: G0145), 87624, 87491, 87591
18829
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Group B Strep Culture

Test Code(s) 5617

CPT Code(s) 87081

Includes If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Methodology Bacterial culture, aerobic isolation and identification. Procedure includes broth enhanced culture

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AFFIRM™ BV/Vaginitis Panel DNA Probe

Bacterial Vaginosis/Vaginitis Panel

Test Code: 14577

CPT Code(s): 87480, 87510, 87660

Includes: Candida species, Trichomonas vaginalis, Gardnerella vaginalis

Methodology: DNA Probe

Special Instructions: Cervical specimens should be avoided because of the effect of elevated sialidase activity. Specimens should not be collected from a patient who has used any vaginal product in the previous 72 hours, e.g., cream, gel, spermicide, or douching.

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Chlamydia / N. Gonorrhoeae RNA, TMA - Vaginal Collection

Test Code: 11363

Includes: Chlamydia trachomatis, Neisseria gonorrhoeae

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

Reference Range(s):
C.trachomatis RNA, TMA - Not detected
N.gonorrhoeae RNA, TMA - Not detected

This test was performed using the APTIMA® COMBO2 Assay (GEN-PROBE).

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Chlamydia / N. Gonorrhoeae RNA, TMA - Unisex Collection

Test Code: 11363

Includes: Chlamydia trachomatis, Neisseria gonorrhoeae

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

Reference Range(s):
C.trachomatis RNA, TMA - Not detected

N.gonorrhoeae RNA, TMA - Not detected

This test was performed using the APTIMA® COMBO2 Assay (GEN-PROBE).

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Culture, Genital

Test code: 4558

CPT code(s): 87070

Includes: If culture is positive, identification will be performed at an additional charge (cpt code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (cpt: 87181 or 87184 or 87185 or 87186).

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Chlamydia / N. Gonorrhoeae RNA, TMA - Urine Collection

Test Code: 11363

Includes: Chlamydia trachomatis, Neisseria gonorrhoeae

Methodology: Dual Kinetic Assay (DKA) • Target Capture • Transcription-Mediated Amplification (TM)

This test was performed using the APTIMA® COMBO2 Assay (GEN-PROBE).

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