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Screen for chlamydia and gonorrhea using a NAAT. NAATs can test for infection at urogenital and extragenital sites, including urine, endocervical, vaginal, male urethral, rectal, and pharyngeal. Both chlamydia and gonorrhea can be tested for at the same time with the same specimen.
CPT Code(s): 87491.
Yes, it is common to have both diseases at the same time. Thats why gonorrhea and chlamydia are checked together.
Specimen collection should be done with a sterile swab or culturette. Cytobrush is not recommended as it may cause trauma and bleeding that can render the specimen unsatisfactory. Rotate swab against the wall of the endocervical canal several times for 20-30 seconds and withdraw without touching the vaginal surface.
The most commonly used type of chlamydia test is called a Nucleic Acid Amplification Test (NAAT). A NAAT detects the DNA of the bacteria that cause the chlamydia infection.
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CPT Code(s): 87491. 87591.
Nucleic acid amplification testing (NAAT) is the recommended method for initial screening or testing for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections.
For women: Vaginal swab is the preferred specimen type for women when a NAAT is used for testing. For men: Urine is the preferred specimen type for men when a NAAT is used for testing.

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