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
Clinical Significance: Concentrations of Lactobacilli are collectively reported under the term "Lactobacillusspp.", as these species are among the peroxide producing Lactobacilli thought to be protective against bacterial vaginosis. In the absence of peroxide producing Lactobacilli, Atopobium vaginae, Megasphaera spp., and Gardnerella (>6.0 log (cells/ mL)) have been associated with vaginosis.
Alternative Name(s): BV, Megasphaera, Atopobium vaginae, Gardnerella
Preferred Specimen Collection:
Aptima Vaginal Swab
Aptima Unisex Swab
Supply: A03 APTIMA Unisex Collection
Additional Tests with Aptima Vaginal Swab as Preferred Specimen:
11363, CT/NG
10016, SureSwab® Advanced Bacterial Vaginosis (BV), TMA
10121, SureSwab Advanced Candida Vaginitis (CV), TMA
19550(X), SureSwab Trichomonas vaginalis
Use cleaning swab (white shaft swab with red printing) to remove excess mucus from cervical os and surrounding mucosa. Discard this swab.*
Insert collection swab (blue shaft swab with green printing) into endocervical canal. Gently rotate swab clockwise for 10 to 30 seconds to ensure adequate sampling. Withdraw swab carefully; avoid any contact with vaginal mucosa.
While holding swab in hand, unscrew the tube cap. Do not spill tube contents. If the tube contents are spilled, discard and get a new APTIMA Unisex swab transport tube. Immediately place swab into transport tube so that the tip of the swab is visible below tube label. Carefully break swabs shaft at the score line against the side of the tube. Discard top portion of swab shaft.
Re-cap swab specimen transport tube tightly.
Collection for Male Urtheral Swab Specimen:
Patient should not have urinated within an hour prior to specimen collection.
Discard cleaning swab (white shaft with red print on label). The cleaning swab if NOT needed for male specimen collection. Insert specimen collection swab (blue shaft swab in package with green printing) 2 cm to 4 cm into urethra. Gently rotate swab clockwise for 2 to 3 seconds in urethra to ensure adequate sampling. Withdraw swab carefully.
While holding swab in hand, unscrew the tube cap. Do not spill tube contents. If the tube contents are spilled, discard and get a new APTIMA Unisex swab transport tube. Immediately place swab into transport tube so that the tip of the swab is visible below tube label. Carefully break swabs shaft at the score line against the side of the tube. Discard top portion of swab shaft.
Re-cap swab specimen transport tube tightly.
Transport container: Aptima transport tube
Transport temperature: Room temperature
Specimen stability:
- Room temperature: 7 days
- Refrigerated: 7 days
- Frozen: 30 days
Reject criteria:
- Samples from leaking, uncapped or broken container
- Non APTIMA vaginal swab collection kit
For additional supply or collection device information, please contact DLO's Customer Service at (800) 891-2917, option 2.
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 payor being billed.