Collect

Stool. Collect in a stool container. 1.0-5.0 mL for fresh stool; 10.0 mL stool in Cary-Blair or Enteric Plus transport media.

Unacceptable Conditions

Leaking container, multiple specimens (> 1 per inpatient stay or collected greater than 5 days after admission), delayed transport to lab without use of appropriate preservative, transport other than Cary-Blair or Enteric Plus.  Stool contaminated with urine.  Diapers are not acceptable.

 

Storage/Transport Temperature

Transport unpreserved stool at room temperature to lab within 2 hours of collection. If transport delayed greater than 2 hours, preserve in enteric transport media, Para-Pak Enteric Plus, or Cary Blair equivalent. Stable in transport media at room temperature or refrigerated for up to 4 days.

 

Stability (from collection to initiation)

Once in transport media, stable at room temperature or refrigerated up to 4 days.

Performed

Microbiology.  Daily per shift.  Results within shift; during peak seasons or outbreaks within 24 hours.

Remarks

If Aeromonas species is suspected, order Culture, Aeromonas (ARMCU).  GI Panel does not include Aeromonas.

If Norovirus or Adenovirus is specifically desired, please order Norwalk Virus Detection (NVDET) or Adenovirus DNA Detection, specimens other than blood (ADVOT), respectively.

 

Notes

For inpatient testing, the GI Pathogen Panel cannot be ordered if it is a repeat test OR the patient has been hospitalized for > 72 hours.  To get approval outside of these guidelines, please page Microbiology at 402-888-5626.

Patients being tested for GI pathogens should be placed in Contact Isolation until infection is resolved or a negative lab result is received.

 

Ordering Recommendations

Ordering individual tests available on the panel are considered duplicate testing and not recommended.  Multiple specimens for testing is not recommended and unacceptable.  This test replaces routine Stool Culture, Yersinia Culture, Vibrio Culture, and Ova & Parasite antigen screening for Giardia and Cryptospodium.

If the Clostridium difficile target is detected, the Clostridium difficile toxin order (CDTXAG) is automatically reflexed.

Performed

Microbiology.  Daily per shift.  Results within shift; during peak seasons or outbreaks within 24 hours.

Methodology

Film Array mutiplexed PCR

Reported

Positive results reported as soon as detected.  Results within shift; during peak season or outbreaks within 24 hours.

Reference Interval

Not Detected

Interpretive Data

Targets tested in panel are listed below:

Campylobacter species (C. jejuni/C. coli/C. upsaliensis) - if detected, a culture is automatically reflexed for recovery and susceptibility testing,

Clostridium difficile - If detected, the Clostridium difficile toxin order (CDTXAG) is automatically reflexed

Plesiomonas shigelloides

Salmonella species

Vibrio species    (V. parahaemolyticus/V. vulnificus/V. cholerae)

Vibrio cholerae  (Species identification)

Yersinia enterocolitica

Enteroaggregative E. coli (EAEC)

Enteropathogenic E. coli (EPEC)

Enterotoxigenic E. coli (ETEC) lt/st

Shiga-like producing E. coli (STEC) stx1/stx2

E. coli O157  (specific identification from STEC)

Shigella/Enteroinvasive E. coli (EIEC) - if detected, a culture is automatically reflexed for recovery and susceptibility testing,

Cryptosporidium species

Cyclospora cayetanensis

Entamoeba histolytica

Giardia lamblia   (also known as G. intestinalis and G. duodenalis)

Adenovirus F 40/41

Astrovirus

Norovirus GI/GII

Rotavirus A

Sapovirus   (Genogroups I, II, IV, and V)

CPT Codes

87507



**CPT code is subject to limited coverage policies for many payers and may require an ABN or Patient Consent for Non-Covered Laboratory Services when ordering.  UHC requires prior authorization (reference code:  GIP).

Medicare Policy

Test Build Information

Italic font means the result will only be reported if there is a value.

Order code
OrderNameResultCodeResultName ResultUnitsRESULT LOINCCPT
GIPGI PATH PANEL PCRCMPYCAMPYLOBACTER SPECIES  82196-787507
GIPGI PATH PANEL PCRCDTXABC DIFFICILE TOXIN A/B  82197-5
GIPGI PATH PANEL PCRPLESIPLESIOMONAS SHIGELLOIDES  82198-3
GIPGI PATH PANEL PCRSLMSPSALMONELLA SPECIES  82199-1
GIPGI PATH PANEL PCRVBRSPVIBRIO SPECIES  82200-7
GIPGI PATH PANEL PCRVBRCVIBRIO CHOLERAE  82201-5
GIPGI PATH PANEL PCRYRSEYERSINIA ENTEROCOLITICA  82202-3
GIPGI PATH PANEL PCREAECENTEROAGGREGATIVE E.COLI (EAEC)  80349-4
GIPGI PATH PANEL PCREPECENTEROPATHOGENIC E. COLI (EPEC)  80348-6
GIPGI PATH PANEL PCRETECENTEROTOXIGENIC E. COLI (ETEC) LT/ST  80351-0
GIPGI PATH PANEL PCRSTECSHIGA-LIKE PRODUCING E. COLI (STEC) STX1/STX2  82203-1
GIPGI PATH PANEL PCRECO157E. COLI O157  82204-9
GIPGI PATH PANEL PCREIECSHIGELLA/ ENTEROINVASIVE E. COLI (EIEC)  80350-2
GIPGI PATH PANEL PCRCRYPTOCRYPTOSPORIDIUM SPECIES  82205-6
GIPGI PATH PANEL PCRCAYECYCLOSPORA CAYETANENSIS  82206-4
GIPGI PATH PANEL PCREHISTOENTAMOEBA HISTOLYTICA  82207-2
GIPGI PATH PANEL PCRGLAMBGIARDIA LAMBLIA  82208-0
GIPGI PATH PANEL PCRADNVFADENOVIRUS F 40/41  82209-8
GIPGI PATH PANEL PCRASTRVASTROVIRUS  82210-6
GIPGI PATH PANEL PCRNOROVNOROVIRUS GI/GII  82211-4
GIPGI PATH PANEL PCRROTVAROTAVIRUS A GIP  82212-2
GIPGI PATH PANEL PCRSAPOSAPOVIRUS  82213-0
GIPGI PATH PANEL PCRGIPCOMGIP COMMENT  

 

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu
 
Collection

Collect

Stool. Collect in a stool container. 1.0-5.0 mL for fresh stool; 10.0 mL stool in Cary-Blair or Enteric Plus transport media.

Unacceptable Conditions

Leaking container, multiple specimens (> 1 per inpatient stay or collected greater than 5 days after admission), delayed transport to lab without use of appropriate preservative, transport other than Cary-Blair or Enteric Plus.  Stool contaminated with urine.  Diapers are not acceptable.

 

Storage/Transport Temperature

Transport unpreserved stool at room temperature to lab within 2 hours of collection. If transport delayed greater than 2 hours, preserve in enteric transport media, Para-Pak Enteric Plus, or Cary Blair equivalent. Stable in transport media at room temperature or refrigerated for up to 4 days.

 

Stability (from collection to initiation)

Once in transport media, stable at room temperature or refrigerated up to 4 days.

Performed

Microbiology.  Daily per shift.  Results within shift; during peak seasons or outbreaks within 24 hours.

Remarks

If Aeromonas species is suspected, order Culture, Aeromonas (ARMCU).  GI Panel does not include Aeromonas.

If Norovirus or Adenovirus is specifically desired, please order Norwalk Virus Detection (NVDET) or Adenovirus DNA Detection, specimens other than blood (ADVOT), respectively.

 

Notes

For inpatient testing, the GI Pathogen Panel cannot be ordered if it is a repeat test OR the patient has been hospitalized for > 72 hours.  To get approval outside of these guidelines, please page Microbiology at 402-888-5626.

Patients being tested for GI pathogens should be placed in Contact Isolation until infection is resolved or a negative lab result is received.

 
Ordering

Ordering Recommendations

Ordering individual tests available on the panel are considered duplicate testing and not recommended.  Multiple specimens for testing is not recommended and unacceptable.  This test replaces routine Stool Culture, Yersinia Culture, Vibrio Culture, and Ova & Parasite antigen screening for Giardia and Cryptospodium.

If the Clostridium difficile target is detected, the Clostridium difficile toxin order (CDTXAG) is automatically reflexed.

Performed

Microbiology.  Daily per shift.  Results within shift; during peak seasons or outbreaks within 24 hours.

Methodology

Film Array mutiplexed PCR

Reported

Positive results reported as soon as detected.  Results within shift; during peak season or outbreaks within 24 hours.

Result Interpretation

Reference Interval

Not Detected

Interpretive Data

Targets tested in panel are listed below:

Campylobacter species (C. jejuni/C. coli/C. upsaliensis) - if detected, a culture is automatically reflexed for recovery and susceptibility testing,

Clostridium difficile - If detected, the Clostridium difficile toxin order (CDTXAG) is automatically reflexed

Plesiomonas shigelloides

Salmonella species

Vibrio species    (V. parahaemolyticus/V. vulnificus/V. cholerae)

Vibrio cholerae  (Species identification)

Yersinia enterocolitica

Enteroaggregative E. coli (EAEC)

Enteropathogenic E. coli (EPEC)

Enterotoxigenic E. coli (ETEC) lt/st

Shiga-like producing E. coli (STEC) stx1/stx2

E. coli O157  (specific identification from STEC)

Shigella/Enteroinvasive E. coli (EIEC) - if detected, a culture is automatically reflexed for recovery and susceptibility testing,

Cryptosporidium species

Cyclospora cayetanensis

Entamoeba histolytica

Giardia lamblia   (also known as G. intestinalis and G. duodenalis)

Adenovirus F 40/41

Astrovirus

Norovirus GI/GII

Rotavirus A

Sapovirus   (Genogroups I, II, IV, and V)

Administrative

CPT Codes

87507



**CPT code is subject to limited coverage policies for many payers and may require an ABN or Patient Consent for Non-Covered Laboratory Services when ordering.  UHC requires prior authorization (reference code:  GIP).

Medicare Policy
RPS Interface Information

Test Build Information

Italic font means the result will only be reported if there is a value.

Order code
OrderNameResultCodeResultName ResultUnitsRESULT LOINCCPT
GIPGI PATH PANEL PCRCMPYCAMPYLOBACTER SPECIES  82196-787507
GIPGI PATH PANEL PCRCDTXABC DIFFICILE TOXIN A/B  82197-5
GIPGI PATH PANEL PCRPLESIPLESIOMONAS SHIGELLOIDES  82198-3
GIPGI PATH PANEL PCRSLMSPSALMONELLA SPECIES  82199-1
GIPGI PATH PANEL PCRVBRSPVIBRIO SPECIES  82200-7
GIPGI PATH PANEL PCRVBRCVIBRIO CHOLERAE  82201-5
GIPGI PATH PANEL PCRYRSEYERSINIA ENTEROCOLITICA  82202-3
GIPGI PATH PANEL PCREAECENTEROAGGREGATIVE E.COLI (EAEC)  80349-4
GIPGI PATH PANEL PCREPECENTEROPATHOGENIC E. COLI (EPEC)  80348-6
GIPGI PATH PANEL PCRETECENTEROTOXIGENIC E. COLI (ETEC) LT/ST  80351-0
GIPGI PATH PANEL PCRSTECSHIGA-LIKE PRODUCING E. COLI (STEC) STX1/STX2  82203-1
GIPGI PATH PANEL PCRECO157E. COLI O157  82204-9
GIPGI PATH PANEL PCREIECSHIGELLA/ ENTEROINVASIVE E. COLI (EIEC)  80350-2
GIPGI PATH PANEL PCRCRYPTOCRYPTOSPORIDIUM SPECIES  82205-6
GIPGI PATH PANEL PCRCAYECYCLOSPORA CAYETANENSIS  82206-4
GIPGI PATH PANEL PCREHISTOENTAMOEBA HISTOLYTICA  82207-2
GIPGI PATH PANEL PCRGLAMBGIARDIA LAMBLIA  82208-0
GIPGI PATH PANEL PCRADNVFADENOVIRUS F 40/41  82209-8
GIPGI PATH PANEL PCRASTRVASTROVIRUS  82210-6
GIPGI PATH PANEL PCRNOROVNOROVIRUS GI/GII  82211-4
GIPGI PATH PANEL PCRROTVAROTAVIRUS A GIP  82212-2
GIPGI PATH PANEL PCRSAPOSAPOVIRUS  82213-0
GIPGI PATH PANEL PCRGIPCOMGIP COMMENT  

 

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu