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
87324
87449


**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

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
GIP GI PATH PANEL PCR CMPY CAMPYLOBACTER SP.   82196-7 87507, 87324, 87449
GIP GI PATH PANEL PCR PLESI PLESIOMONAS SP.   82198-3  
GIP GI PATH PANEL PCR SLMSP SALMONELLA SPECIES   82199-1  
GIP GI PATH PANEL PCR VBRSP VIBRIO SPECIES   82200-7  
GIP GI PATH PANEL PCR VBRC VIBRIO CHOLERAE   82201-5  
GIP GI PATH PANEL PCR YRSE Y. ENTEROCOLITICA   82202-3  
GIP GI PATH PANEL PCR EAEC E. COLI (EAEC)   80349-4  
GIP GI PATH PANEL PCR EPEC E. COLI (EPEC)   80348-6  
GIP GI PATH PANEL PCR ETEC E. COLI (ETEC)   80351-0  
GIP GI PATH PANEL PCR STEC E. COLI (STEC)   82203-1  
GIP GI PATH PANEL PCR ECO157 E. COLI O157   82204-9  
GIP GI PATH PANEL PCR EIEC SHIGELLA AND EIEC   80350-2  
GIP GI PATH PANEL PCR CRYPTO CRYPTOSPORIDIUM   82205-6  
GIP GI PATH PANEL PCR CAYE CYCLO. CAYETANENSIS   82206-4  
GIP GI PATH PANEL PCR EHISTO ENTA. HISTOLYTICA   82207-2  
GIP GI PATH PANEL PCR GLAMB GIARDIA LAMBLIA   82208-0  
GIP GI PATH PANEL PCR ADNVF ADENOVIRUS F 40/41   82209-8  
GIP GI PATH PANEL PCR ASTRV ASTROVIRUS   82210-6  
GIP GI PATH PANEL PCR NOROV NOROVIRUS GI/GII   82211-4  
GIP GI PATH PANEL PCR ROTVA ROTAVIRUS A   82212-2  
GIP GI PATH PANEL PCR SAPO SAPOVIRUS   82213-0  
GIP GI PATH PANEL PCR GIPCOM COMMENT      

Reflex testing:
CDTXAG C.DIFF AG AND TOXIN CDIFAG C DIFFICILE ANTIGEN   57901-1 87324, 87449
CDTXAG C.DIFF AG AND TOXIN CDIFTX C DIFFICILE TOXIN   34713-8  
CDTXAG C.DIFF AG AND TOXIN CDIFCM C DIFFICILE 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
87324
87449


**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

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
GIP GI PATH PANEL PCR CMPY CAMPYLOBACTER SP.   82196-7 87507, 87324, 87449
GIP GI PATH PANEL PCR PLESI PLESIOMONAS SP.   82198-3  
GIP GI PATH PANEL PCR SLMSP SALMONELLA SPECIES   82199-1  
GIP GI PATH PANEL PCR VBRSP VIBRIO SPECIES   82200-7  
GIP GI PATH PANEL PCR VBRC VIBRIO CHOLERAE   82201-5  
GIP GI PATH PANEL PCR YRSE Y. ENTEROCOLITICA   82202-3  
GIP GI PATH PANEL PCR EAEC E. COLI (EAEC)   80349-4  
GIP GI PATH PANEL PCR EPEC E. COLI (EPEC)   80348-6  
GIP GI PATH PANEL PCR ETEC E. COLI (ETEC)   80351-0  
GIP GI PATH PANEL PCR STEC E. COLI (STEC)   82203-1  
GIP GI PATH PANEL PCR ECO157 E. COLI O157   82204-9  
GIP GI PATH PANEL PCR EIEC SHIGELLA AND EIEC   80350-2  
GIP GI PATH PANEL PCR CRYPTO CRYPTOSPORIDIUM   82205-6  
GIP GI PATH PANEL PCR CAYE CYCLO. CAYETANENSIS   82206-4  
GIP GI PATH PANEL PCR EHISTO ENTA. HISTOLYTICA   82207-2  
GIP GI PATH PANEL PCR GLAMB GIARDIA LAMBLIA   82208-0  
GIP GI PATH PANEL PCR ADNVF ADENOVIRUS F 40/41   82209-8  
GIP GI PATH PANEL PCR ASTRV ASTROVIRUS   82210-6  
GIP GI PATH PANEL PCR NOROV NOROVIRUS GI/GII   82211-4  
GIP GI PATH PANEL PCR ROTVA ROTAVIRUS A   82212-2  
GIP GI PATH PANEL PCR SAPO SAPOVIRUS   82213-0  
GIP GI PATH PANEL PCR GIPCOM COMMENT      

Reflex testing:
CDTXAG C.DIFF AG AND TOXIN CDIFAG C DIFFICILE ANTIGEN   57901-1 87324, 87449
CDTXAG C.DIFF AG AND TOXIN CDIFTX C DIFFICILE TOXIN   34713-8  
CDTXAG C.DIFF AG AND TOXIN CDIFCM C DIFFICILE COMMENT      

Additional Information

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