cpt code for gc chlamydia urine test labcorp cpt code for gc chlamydia urine test labcorp

The Centers for Disease Control And Prevention states that, every year, 820,000 individuals get infected with gonorrhea. Urine testing is currently primarily used to detect bacterial STIs. One swab, 2 mL of a 20 mL to 30 mL urine collection, or entire liquid cytology vial, Gen-Probe Aptima swab or Aptima urine specimen transport; ThinPrep liquid cytology vial. The final volume must be between the two black lines on the device (about 2 mL). Insert the specimen collection swab (blue shaft swab in the package with the green printing) 2 to 4 cm into the urethra. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Chlamydia trachomatis is a type of gram-negative bacteria that is responsible for causing Chlamydia infection. You can contract this bacterium through having unprotected sex with an infected partner. The name you know. LabCorp uses the following procedure and believes it is consistent with the previous instructions as well as with the amplified assay that will be performed on the specimen to be sent. CPT Description. 87491, 87591, 87661. LabCorp Test #: 377036, CPT: 81001. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection container free of any preservatives. In some cases, additional time should be In these cases of treatment failure, doctors may use a cell culture to help understand which treatments may be most effective for an individuals infection. To reduce the chance of contaminating other specimens, work with one ThinPrep Liquid Pap specimen at a time. Withdraw the swab carefully; avoid contact with the vaginal mucosa. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for The Gonorrhea test is essential in screening, diagnosing and evaluating the treatment plan of a gonorrhea infection. Are samples other than genital samples, such as throat and rectal swabs, acceptable for C trachomatis and N gonorrhoeae NAATs? The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Swirl vigorously in the ThinPrep vial 10 times and discard the spatula. For men, first-catch urine is the recommended. There is no evidence of degradation of cytology results by aliquot removal, however, this cannot be ruled out for all specimens. Swirl the brush vigorously to release additional material. Cpt Code For Gonorrhea And Chlamydia Urine Test By Cathy W January 11, 2022 0 210 What Does The Test Measure How to use gonorrhea rapid test kit / STDrapidtestkits.com Chlamydia testing looks for evidence of infection with the bacteria Chlamydia trachomatis. Use: Updated 2/28/22. Vaginal swab collection: Care provider specimen: Collect vaginal fluid sample using the Gen-Probe Aptima Vaginal Swab Kit by contacting the swab to the lower third of the vaginal wall, rotating the swab for 10 to 30 seconds to absorb the fluid. Carefully insert the swab into the vagina about 2" past the introitus and gently rotate the swab for 10 to 30 seconds, making sure the swab touches the walls of the vagina so that moisture is absorbed by the swab. Female patients should not cleanse the labial area prior to providing the specimen. These days, bacterial DNA testing is considered a better option. Endocervical swab: Remove excess mucus from the cervical os and surrounding mucosa using the cleaning swab (white-shaft swab in the package with red printing). Test code 70048- Chlamydia trachomatis RNA, TMA, Throat Test code 16504- Neisseria gonorrhoeae RNA, TMA, Rectal Test code 70049- Neisseria gonorrhoeae RNA, TMA, Throat You May Like: Causes Of Chlamydia In Females Urine Testing Vs Bacterial Culture Urine testing is currently primarily used to detect bacterial STIs. Women with untreated gonorrhea or chlamydia can also develop a condition known as pelvic inflammatory disease . Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Start: Nov 27, 2022 Get Offer. female and male urine specimens. Testing schedules may vary. This training should be provided by Hologic. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. It has not been cleared or approved by the US Food and Drug Administration (FDA). Hemolysis; lipemia; received outside of specimen and/or storage and/or labeling requirements; aliquot received for HIV testing; specimen in expired transport or incorrect transport device; specimens with inappropriate source for test requested; Aptima urine transport >30 days from collection; Aptima urine transport with incorrect specimen volume; Aptima swab transport >60 days from collection; Aptima swab specimen without a swab; cleaning swab (white-shaft swab) in Aptima swab transport; Aptima transport device with multiple swabs. 16. Aptima (Gen-Probe) Endocx/ureth swab or urine, gel-barrier tube. CPT coding is the sole responsibility . Remove the swab. Infected women report abnormal vaginal discharges, bleeding between periods, pain during period, when urinating and while having sex, as well as itching and burning around the area of the vagina. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Clinical Significance: This assay may be used to test specimens from symptomatic and asymptomatic individuals to aid in the diagnosis of gonococcal and/or chlamydial urogenital disease. Carefully break the swab shaft at the scoreline; use care to avoid splashing of contents. Withdraw the swab without touching the skin. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens. Put on clean gloves before proceeding to specimen transfer. The Xpert CT/NG Assay provides qualitative results. Tighten the cap on the ThinPrep vial so that the torque line on the cap passes the torque line on the vial. download here chlamydia gc screening requisition form supply order form of america llc home healthcare supply The fluid level must fall between the 2 black lines on the urine transport tube. Negative; no Chlamydia trachomatis or Neisseria gonorrhoeae detected. To easily check for chlamydia from the comfort of home, simply collect a urine sample and send it to a lab with prepaid shipping using the Everlywell at-home Gonorrhea and Chlamydia test kit. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for 2023 Laboratory Corporation of America Holdings. The final volume must be between the two black lines on the device (about 2 mL). Allow bleach to contact work surfaces and pipettors for at least one minute and then follow with a water rinse. For more information, please view the literature below. If reflex testing is performed, additional charges/CPT code(s) may apply. This policy describes reimbursement for Infectious agent detection by nucleic acid (DNA or RNA) assays for the detection of Sexually Transmitted Infections (STI), represented by CPT codes 87491, 87591, 87661, or 87801, and submitted for reimbursement on professional and facility claim forms. Maintain specimen at room temperature or refrigerate (2C to 30C). Cpt Code Description Start Date End Date Max Allowed. CPT Coding 87491 -Chlamydia trachomatis Amplified RNA 87591 -Neisseria gonorrhoeae Amplified RNA 87661 -Trichomonas vaginalis Amplified RNA Test Classification Female urine for CT/GC and male urine for Trich samples: This test has been modified from the manufacturer's instructions. 91448. Discard this swab. Test Code. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. Endocervical swab: Remove excess mucus from the cervical os and surrounding mucosa using the cleaning swab (white shaft swab in the package with red printing). Serum specimen: Usual blood collection technique. Because cytology/HPV testing and STD testing address different clinical questions, aliquot removal may not be suitable for all clinical situations. It isnt me. TEST: 188070 CPT: 87491; 87529 (x2); 87591; 87661 Print Share Include LOINC in print Expected Turnaround Time 3 - 4 days Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. I looked up/Googled health codes and 74.5 stands. As such, they can be run on urine samplesnot just urethral or cervical swabs. 2015 the icd 9 code sets used to report medical diagnoses and inpatient procedures will be replaced by icd 10 code . Screen for and diagnose sexually transmitted infections and blood borne pathogens including syphilis, hepatitis B virus (HBV), hepatitis C virus (HCV), HIV, Chlamydia trachomatis, and Neisseria gonorrhoeae. Screening and Referral Algorithm for Hepatitis B Virus (HBV) Infection Among Pregnant Women. The Centers for Disease Control And Prevention state that, every year, 2.8 million Americans get infected with chlamydia. CDC website: https://www.cdc.gov/hepatitis/hbv/pdfs/prenatalhbsagtesting_508.pdf. Recap the swab specimen transport tube tightly. Note: Specimen collected in Aptima PCR Urine media contain a preservative and are stable for 30 days. See test code CTGCU for urine sources and CTGCO for non-FDA approved sources (oral, anal, or rectal swabs). The final volume must be between the two black lines on the device (about 2 mL). Withdraw the swab without touching the skin. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Carefully dispense the aliquot into the appropriately labeled Aptima tube. Then, rotate the brush in the PreservCyt solution 10 times while pushing against the wall of the ThinPrep vial. Microbiology Specimen Collection and Transport Guide, PreservCyt fluid (removed prior to processing of the vial on the ThinPrep processor) placed in the Gen-Probe Aptima swab transport tube, 1 mL; although up to 4 mL may be removed from the ThinPrep vial, only 1 mL of PreservCyt will be placed in the transport device, Gen-Probe Aptima swab transport or Gen-Probe Aptima specimen transfer kit with 1 mL of PreservCyt fluid (do not use swabs provided with Aptima kit), ThinPrep preservative vial processing: ThinPrep instructions for removal of material are specifically listed in the ThinPrep 2000 and ThinPrep 3000 System Operator's manual Addenda. Most at-home chlamydia tests are self-collection kits, which allow you to obtain a swab or sample of urine at home and return it to a laboratory by mail. Question 2. Label each Aptima tube with the appropriate specimen label. A urine culture test detects and identifies bacteria and yeasts in the urine, which may be causing a UTI. WebCPT Code Description Start Date End Date Max Allowed 87320 Chlamydia trachomatis antigen detection using qualitative multiple step enzyme immunoassay technique 4/1/2022 3/31/2023 $18.00 87490 Chlamydia trachomatis detection by nucleic acid using direct probe technique 4/1/2022 3/31/2023 $30.00 81025 Urine pregnancy test using visual Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. It is also common among African Americans. There are few studies that have evaluated the effect of swab order on the performance of diagnostic tests to detect Chlamydia trachomatis and Neisseria gonorrhoeae in women. Retrieve ThinPrep vials that are to have aliquots removed. Patient Self-Collection: Partially open the package of the Gen-Probe Aptima vaginal swab kit. The CDC currently recommends oral and anal testing of MSM who have had receptive oral or anal sex, respectively, within the previous year.4 Both C trachomatis and N gonorrhoeae testing are recommended on the anal specimens. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Expected Turnaround Time 2 - 3 days Recommended Reading: Treatment For Chlamydia And Trichomoniasis. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima Vaginal Swab Specimen Collection Kit. 8. 9. allowed for additional confirmatory or additional reflex tests. CPT Disclaimer. Hepatitis B. CDC website: www.cdc.gov/hepatitis/hbv/index.htm. by. Vortex the ThinPrep vial for 8 to 12 seconds at high speed. Rapid chlamydia tests can often provide a result within 30 to 90 minutes. Carefully insert the swab into the vagina about two inches past the introitus and gently rotate the swab for 10 to 30 seconds, making sure the swab touches the walls of the vagina so that moisture is absorbed by the swab. Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account or to find available tests you can order. Kilpatrick SJ, Papile LA, Macones GA, eds. If an NAAT is positive for C trachomatis or N gonorrhoeae 3 or more weeks after the end of treatment,6 first ensure that the patient has complied with the prescribed therapy and that the patient denies having sex after treatment with an untreated or new sex partner. NorDx Respiratory Panel Quick Guide (non MidCoast), NorDx Respiratory Panel Quick Guide (MidCoast only), 2022 Acceptable Tan Top Usage for Hematology, 2022 Acceptable Alternate Tube Types for Chemistry, 2019 Scarborough NorDx Urine Toxicology Guide, Tick-Bourne Disease Pathogen Testing Information, Individually Orderable IGE Allergens Chart with Test Codes, Biotin Interference Thresholds--Scarborough site, Biotin Interference Thresholds--non-Scarborough sites, Laboratory Corporation of America (LabCorp) Test Menu, Critical Laboratory Values - Scarborough & MMC, Critical Laboratory Values - Mid Coast Hospital, CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION, Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia trachomatis, Amplified Probe Technique, Infectious Agent Detection by Nucleic Acid (DNA or RNA), Neisseria gonorrhoeae, Amplified Probe Technique. Immediately place the swab into the transport tube, and carefully break the swab shaft against the side of the tube. If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. One swab, 2 mL of a 20 mL to 30 mL urine collection, or entire liquid cytology vial, Gen-Probe Aptima swab or Aptima urine specimen transport; ThinPrep liquid cytology vial. Recap the swab specimen transport tube tightly. Direct patient to provide a first-catch urine (approximately 20 to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Even better, they do not require a live bacterial sample. Hernandez et al 1 studied the effect of five sequential swabs on CT yield using a rapid enzyme immunoassay kit. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Recap the swab specimen transport tube tightly. 3. Tightly screw on the cap. Vaginal swab: Care provider specimen: Collect vaginal fluid sample using the Gen-Probe Aptima vaginal swab kit by contacting the swab to the lower third of the vaginal wall and rotating the swab for 10 to 30 seconds to absorb fluid. If an at-home chlamydia test returns positive results, a doctor may suggest confirmation testing with a laboratory-based method. Although much less commonly used, cell cultures can help diagnose a chlamydia infection. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Guidelines for Perinatal Care. Testing schedules may vary. A chlamydia or gonorrhea infection may cause inflammation or scarring of the reproductive organs. CPT Code. Chlamydia is one of the most frequently reported sexually transmitted 7060721111 chlamydia trachomatis oral 70607211 chlamydia trachomatis rectal 705756 gc culture . Direct patient to provide a first-catch urine (approximately 20 to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC 180049: Ct Ng M genitalium NAA, Urine: 180024: Mycoplasma genitalium NAA: 88226-6: 180049: Ct Ng M genitalium NAA, Urine: 180050: Chlamydia trachomatis, NAA: 42931-6: 180049: Ct Ng M genitalium NAA, Urine: 180052: Neisseria gonorrhoeae, NAA: 60256-, Read Also: What Medication Do You Take For Chlamydia. Chlamydia trachomatis : Symptoms, Diagnosis and Treatments. Gently rotate the swab clockwise for 10 to 30 seconds in the endocervical canal to ensure adequate sampling. in juliet papa 1010 wins. Regular STI testing can help with early diagnosis of the infection, and most people who receive treatment for chlamydia make a full recovery. 6. If youve recently tested positive for chlamydia or gonorrhea, complete the treatment, then test again after 3 months to ensure the treatment was successful. The assay may be used to test . If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. This panel provides an assessment of sexual health by screening for three common sexually transmitted infections : For your urine test, its best not to urinate for two hours before your sample collection urinating within this period could affect the accuracy of your results. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Free fact sheets, free STI medications for patients and partner (s) who test positive for Chlamydia, call the Sexual Health Program, 721-7520 (or toll free 1 877 721-7520) For additional information and references, visit SMDHU Sexual Health AIDS & Sexual Health InfoLine, 416-392-2437 Other Resources Clinical Significance Transfer the specimen to the Aptima urine specimen collection kit if 14 years of age or older Urine Specimen Collection Instructions: 1. Aliquots must be transferred to the Aptima tube within seven days of collection. WebCPT Code.CPT Description.CPT Disclaimer. Lab/Phone: 330-543-8576 TAT: 4 hours if specimen is received when test is being run Additional Info: Positive results are called and reported to the Ohio Department of Health (ODH). 1. Provide patient with a sterile, plastic, preservative-free, screw cap specimen collection cup. 3. For more information, please view the literature below. Collect 10-50mL of first portion of random urine into a sterile plastic container. Transfer 1 mL serum or plasma to a Standard Transport Tube. Although the findings were not statistically significant, positivity appeared to. Uncap the vial and place it on the work surface with the threads facing up. CPT Code(s) 87491, 87591, 87661. 4. Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. Female patients should not cleanse the labial area prior to providing the specimen. 2. All Rights Reserved. Carefully insert the swab into the vagina about two inches past the introitus and gently rotate the swab for 10 to 30 seconds, making sure the swab touches the walls of the vagina so that moisture is absorbed by the swab. Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. A chlamydia and gonorrhea urine test, random detects chlamydia trachomatis and neisseria gonorrhoeae which is generally transmitted through sexual contact with an infected partner. Good laboratory practices should be followed to avoid introducing contaminants into either the PreservCyt sample vial (ThinPrep vial) or the aliquot. Chlamydia is easily treated with antibiotics. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia trachomatis, Amplified Probe Technique : CHLAMYDIA AND GC DNA URINE; CHLAMYDIA AND GC NON-CERVICAL; Portions 2023 Mayo Foundation for Medical Education . 10. Recap the ThinPrep Liquid Pap specimen for Pap smear processing. Sometimes, this may lead to infertility . Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Indicate a specific test number on the test request form. As with any subsampling step in anatomic pathology, chance misallocation of diagnostic cells may occur if they are very rare. Remember that prior to processing for Pap smear in the ThinPrep instrumentation, a volume of PreservCyt equal to that removed for testing must be added back to the vial. Aliquot removal may leave insufficient material in the PreservCyt sample vial for performance of ancillary testing (ie, reflexive HPV testing) using the residual specimen following preparation of a ThinPrep Pap Test. Please note ReproSource is not a Medicare/Medicaid provider. 2023 Laboratory Corporation of America Holdings. All Rights Reserved. testing to when the result is released to the ordering provider. CPT Code: 87491, 87591. Test Code CT/GC CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE DETECTION BY NUCLEIC ACID AMPLIFICATION . Put on clean gloves and repeat steps 8 to 18 with subsequent specimens. All Rights Reserved. The final volume must be between the two black lines on the device (about 2 mL). Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests ? If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima Vaginal Swab Specimen Collection Kit. When doctors screen for gonorrhea, they may also screen for other STDs at the same time. Urine contains low levels of microbes, such as bacteria or yeasts, which move from the skin into the urinary tract and grow and multiply, causing a UTI. allowed for additional confirmatory or additional reflex tests. In the specimen transfer area, place a test tube rack containing a sufficient number of Aptima tubes to the number of ThinPrep Pap specimens being tested for Ct/Ng. Test Code: GCAT, CHAT, GCCAT (Battery for both tests) CPT 4 Code: 87491 (Chlamydia) 87591 (GC) Specimen Requirements: Urine: First catch urine (approximately 20 to 30 ml of initial urine stream) into urine collection cup free of any preservatives. Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. 5. Recap the swab specimen transport tube tightly. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Chlamydia trachomatis. Specimen with incorrect patient identification; unlabeled specimen; inappropriate specimen transport conditions; specimens received after prolonged delay (usually >72 hours); specimen leaked in transit; specimen in expired transport or incorrect transport device; specimens with inappropriate source for test requested; specimen with fixative or additives; Aptima urine transport >30 days from collection; Aptima urine transport with incorrect specimen volume; <15 mL urine submitted in sterile container; receipt of urine in sterile container >24 hours from collection; Aptima swab transport >60 days from collection; Aptima swab specimens with incorrect specimen volume; Aptima swab specimen without a swab; cleaning swab (white-shaft swab) in Aptima swab transport; any nonGen-Probe swab submitted in Aptima transport device; wooden-shaft swab in transport device; transport device with multiple swabs; female urethral swab; bloody or grossly mucoid specimens; bacterial swabs; specimen in ProbeTec UPT transport; ProbeTec Q-swabs; UTM-RT; SurePath vial. Do not touch the soft tip or lay the swab down. Urine Specimen Collection and Handling 1. This makes chlamydia a widespread sexually transmitted disease. ChlamidiaExplained.com is a one-stop resource for everything you wanted to know about chlamidia symptoms and treatments. It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. Patient self-collection instructions: Partially open the package. Learning more about the different types of STDs someone can getlike chlamydiacan help you care for your sexual health. Female patients should NOT cleanse the labial area prior to specimen collection. For men, yearly screening is recommended if you are a man who has sex with men. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 2020. Risk factors that impact the frequency of gonorrhea screening include: You May Like: How Common Is It For Chlamydia To Come Back, Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC 183198: Ct/Ng NAA rfx Tv NAA: 188106: Chlamydia by NAA: 43304-5: 183198: Ct/Ng NAA rfx Tv NAA: 188107: Gonococcus by NAA: 43305-2: 183198: Ct/Ng NAA rfx Tv NAA: 183199: Trich vag by NAA Rfx: N/ Vaginal swab: Collect vaginal fluid sample using the Gen-Probe Aptima swab by contacting the swab to the lower third of the vaginal wall and rotating the swab for 10 to 30 seconds to absorb fluid.