Genital Culture, Routine
| Genital Culture, Routine | | | |
| Number | | 008334 |
| CPT | | 87070 |
| Related Information | | Default Test Order for Ambiguous Orders GC (Neisseria gonorrhoeae) Culture Only |
| Synonyms | | Culture, Genital, Routine |
| Test Includes | | Culture; isolation, identification (additional charges/CPT code[s] may apply), and if culture results warrant, susceptibility testing (at an additional charge). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Requests with only a written order and no test number indicated will be processed according to Default Test Order for Ambiguous Orders . |
| Special Instructions | | Specify specimen source and pertinent clinical information on the request form. Specimens from other sources, such as genital, stool, urine, upper and lower respiratory specimens, cannot be cultured under the aerobic bacterial culture test number. If specimens are incorrectly submitted with an order for aerobic bacterial culture, the laboratory will process the specimen for the test based on the source listed on the request form. The client will not be telephoned to approve this change, but the change will be indicated on the report. Check expiration date of transport; do not use expired devices. |
| Specimen | | Swab of vagina, cervix, discharge, aspirated endocervical, endometrial, prostatic fluid, or urethral discharge. Use swab to inoculate Jembec for transport to the laboratory and recovery of Neisseria gonorrhoeae; swab should also be sent in transport device. |
| Volume | | One swab and/or one inoculated Jembec |
| Container | | Bacterial swab transport containing gel preservative and/or Jembec |
| Collection | | Female: Do not use lubricant on speculum. Cervical mucous should be removed first before inserting swab into endocervical canal, move swab from side to side allowing several seconds for absorption of organisms by the swab. Return swab to the transport tube and label. Male: Using small wire swab, gently scrape the anterior urethral mucosa or, use a swab to collect specimen of urethral discharge. |
| Storage Instructions | | Maintain specimen swab and Jembec at room temperature. Do not refrigerate. |
| Causes for Rejection | | Inappropriate specimen transport device; unlabeled specimen or name discrepancy between specimen and request label; specimen received after prolonged delay (usually more than 72 hours); specimen received in expired transport |
| Use | | Isolate and identify potentially aerobic pathogenic organisms including Gardnerella vaginalis and group B Streptococcus; establish the diagnosis of gonorrhea, medical/legal cases |
| Limitations | | Does not include Trichomonas vaginalis, Chlamydia trachomatis, Ureaplasma urealyticum, Mobiluncus sp, or yeast |
| Methodology | | Culture |
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