Genital Ulcer Disease Panel by PCR

3005674
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Additional Technical Information

Ordering Recommendation

Use to detect herpes simplex virus 1, herpes simplex virus 2, Treponema pallidum, Haemophilus ducreyi, and Chlamydia trachomatis L serovar in genital and anorectal lesions/ulcers.

Mnemonic

GUDP PCR

Methodology

Qualitative Polymerase Chain Reaction (PCR)

Performed

Tue, Thu, Sat

Reported

1-5 days

New York DOH Approval Status

This test is New York DOH approved.

Specimen Required

Patient Preparation
Collect

Genital, anal, or rectal swabs with APTIMA Unisex Swab Specimen Collection kit (ARUP supply #28907) OR in Viral Transport Media (ARUP supply #12884) available online through eSupply using ARUP Connect, or contact ARUP Client Services at 800-522-2787.

Specimen Preparation

APTIMA Swab: Place blue swab in swab specimen transport tube, break shaft off at score line, then recap tube.
Swab in Viral Transport Media (VTM): Transfer swab to viral transport media.

Storage/Transport Temperature

Frozen

Unacceptable Conditions

Serum, plasma, ocular fluid, and CSF

Remarks

Specimen source required

Stability

Ambient: 3 days; Refrigerated: 1 month; Frozen: 1 month

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 assay.

Compliance Category

Laboratory Developed Test (LDT)

Note

This test detects and differentiates Herpes simplex virus 1, Herpes simplex virus 2, Treponema pallidum, Haemophilus ducreyi, and Chlamydia trachomatis L serovar. This test does not differentiate Chlamydia trachomatis L1-L3 serovars.

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
03/20/2023
X
N/A

CPT Codes

87491, 87529 x2, 87798 x2

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Components

Component Test Code* Component Chart Name LOINC
3005675 GUDP by PCR, Source 31208-2
3005676 HSV type 1 by PCR 91859-9
3005678 HSV type 2 by PCR 91858-1
3005680 T. pallidum by PCR 91846-6
3005682 H. ducreyi by PCR 76076-9
3005684 C. trachomatis L serovar by PCR 45090-8
* 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

  • Chlamydia trachomatis L serovar
  • Genital ulcer
  • Haemophilus ducreyi
  • Herpes simplex virus 1
  • Herpes simplex virus 2
  • Treponema pallidum
Genital Ulcer Disease Panel by PCR