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Clostridium difficile toxin by PCR (8000100147)
Test Mnemonic:
Specimen Requirements:

Pseudomembranous colitis; Detection of toxigenic Clostridium difficile from unformed or liquid fecal samples.

Collection:

Feces sample

Container:

Clean container

Minimum Volume:

1 mL

Storage/Transport:

Room temperature or Refrigerated

Specimen Preparation:

Transfer feces to a clean, spillproof container 

Stability:

24 hour at room temperature, 5 days if refrigerated

 

Causes for Rejection:

Formed specimen, insufficient quantity, sample on culturette, stool in preservatives, specimen container unlabeled or mislabeled, no date and time of collection on form. Duplicate requests (negative or positive) if collected < 7 days apart.

Reference Range:

Negative

Turnaround Time:

The test is performed daily, must be received prior to noon to be tested same day.

Methodology:

This molecular assay utlizes automated real-time polymerase chain reaction (PCR) to detect toxin gene sequences associated with toxin producing C. difficile.

Performed:
Lab:

Clinical Microbiology

Synonyms:

Pseudomembranous colitis test; C. difficile toxin assay; C. difficile toxigenic assay; Clostridium difficile test; Clostridium difficile toxin test; C. difficile by molecular assay; Clostridium difficile cytotoxin assay.

Clinical Indication:

Aid in the diagnosis of Clostridium difficile related disease

Patient Preparation :

This test is performed on patients with diarrhea.

CPT 4 Code:

87493

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-10 code or its verbal equivalent.
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