Urogenital Ureaplasma and Mycoplasma Species by PCR

2011172
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Example Reports
Detected
Not Detected

Ordering Recommendation

Detects and speciates Ureaplasma parvum, Ureaplasma urealyticum, Mycoplasma hominis, and Mycoplasma genitalium; consider ordering for cases of non-gonococcal urethritis.

Mnemonic

UR MYCOPCR

Methodology

Qualitative Polymerase Chain Reaction

Performed

Mon, Wed, Fri

Reported

2-5 days

New York DOH Approval Status

This test is New York DOH approved.

Specimen Required

Patient Preparation
Collect

Genital swab, rectal swab, or urine. Also acceptable: upper respiratory swabs, bronchoalveolar lavage, sputum, and tracheal aspirates.

Specimen Preparation

Transfer genital swab, rectal swab, respiratory swab, or 1 mL urine to viral transport media (ARUP supply #12884) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. 
BAL, sputum, or tracheal aspirate: Transfer 1 mL to an empty sterile container. (Min: 0.5 mL)

Storage/Transport Temperature

Frozen

Unacceptable Conditions
Remarks

Specimen source required.

Stability

Ambient: 48 hours; Refrigerated: 10 days; Frozen: 14 days

Reference Interval

Interpretive Data

A negative result does not rule out the presence of PCR inhibitors in the patient specimen or test-specific nucleic acid in concentrations below the level of detection by this test.

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Compliance Category

Laboratory Developed Test (LDT)

Note

This test detects and speciates Ureaplasma parvum, Ureaplasma urealyticum, Mycoplasma hominis, and Mycoplasma genitalium.

Hotline History

View Hotline History

 

Hotline History

Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
06/06/2022
X
08/16/2021
X
X
N/A

CPT Codes

87798 x3; 87563

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Components

Component Test Code* Component Chart Name LOINC
2011173 Ureaplasma and Mycoplasma Source 31208-2
2011174 Ureaplasma parvum by PCR 69933-0
2011176 Ureaplasma urealyticum by PCR 51988-4
2011178 Mycoplasma hominis by PCR 68546-1
2011180 Mycoplasma genitalium by PCR 69935-5
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

Urogenital Ureaplasma and Mycoplasma Species by PCR