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Specimen Collection Manual and Test Catalog

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WOMEN'S VAGINOSIS PANEL, NAAT

Geisinger Epic Procedure Code:  LAB3677    Geisinger Epic ID:  121991

SPECIMEN COLLECTION
Specimen type: 

Vaginal swab (provider or in clinic self-collect)


Preferred collection container: 
Specimen required: 

Vaginal specimen collected in an Aptima Multitest Swab Specimen Collection Kit (provider or in clinic self-collect).


Special notes: 

Check expiration date on transport device before use. For the Aptima® Multitest Swab Specimen Collection Kit, use pink-shafted swab only. NOTE: The Aptima® Multitest Swab Specimen Collection Kit is the only collection kit approved for vaginal specimens. Testing cannot be performed from any other Aptima® collection kits. Testing will not be performed on females less than 14 years of age. If testing is needed on this age group, collect a vaginal Eswab specimen and order a Culture, Genital Aerobic (LAB2136).



SPECIMEN PROCESSING
Transport temperature: 

Room temperature (15-30°C). Refrigerated (2-8°C) is also acceptable.


Specimen stability: 

Swab specimens in transport tubes can be stored at 2°C to 30°C for up to 30 days. If longer storage is needed, specimens may be stored at -20 to -70°C for an additional 60 days.


Rejection criteria: 

Improperly labels/identified specimens. Expired collection/transport device. Improper transport device. Improper specimen type, females less than 14 years of age.



TEST DETAILS
Reference interval: 

Negative for Bacterial Vaginosis (BV). No Candida species group, Candida glabrata, and Trichomonas vaginalis RNA detected.


CPT code(s):  81513,87481,87661
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Molecular target amplification and detection of Bacterial Vaginosis, Candida species group, Candida glabrata, and Trichomonas vaginalis. Targets reported as Candida species (spp.) Result Group include C. albicans, C. tropicalis, C. parapsilosis, and C. dubliniensis . Individual targets include Candida glabrata and Trichomonas vaginalis. Targets reported as the Bacterial Vaginosis Result Group include Lactobacillus gasseri, Lactobacillus crispatus, Lactobacillus jenserii, Gardnerella vaginalis, and Atopobium vaginae.


Methodology: 
Transcription-Mediated Amplification (TMA)
Synonyms: 

Bacterial vaginosis panel, vaginosis panel, Candida species, Candida glabrata, Trichomonas vaginalis, Molecular probe, molecular detection, probe, VAGP, transcription mediated amplification, TMA, WVPAN


Clinical significance: 

The three main categories of vaginitis are bacterial vaginosis, (BV), yeast vaginitis (candidiasis) and T. vaginalis vaginitis (trichomoniasis). This test will detect all three from a single specimen. Clinical correlation is needed with the detection of bacterial vaginosis, Candida species group, and Candida glabrata since these may be associated with colonization.


Doctoral Director(s): 
Donna Wolk PhD, D(ABMM)
Julie Hirschhorn, PhD, HCLD(ABB)
Review Date:  12/31/2024

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