MYCOPLASMA HOMINIS PCR
General Information
HLAB/HOL Code: MHRP
UPHSM LIS Test #: 6574
Schedule: Monday-Friday
Testing Time: 3 Days
Testing Lab: Mayo Labs
UPHSM LIS Test #: 6574
Schedule: Monday-Friday
Testing Time: 3 Days
Testing Lab: Mayo Labs
Specimen Info
Only 1 specimen type required, unless otherwise specified
Volume: Fluid: 1 mL; Plasma, Whole Blood: 1 mL; Urine: 2 mL; Swab: 1 swab; Tissue: 5 mm(3)
Temperature: Refrigerate
Tube Type: VARIES
Collection Info:
Specimen source is required.
Submit only 1 of the following specimens:
Specimen Type: Swab
Sources: Cervix, urethra, urogenital, vaginal, chest/mediastinal; bronchus (donor swab); upper respiratory sources (only infants <3 months: nasopharynx, nose, throat)
Container/Tube:
Preferred: Culture swab transport system (Dacron or rayon swab with aluminum or plastic shaft with either Stuart or Amies liquid medium)
Acceptable: Swab in transport media: M4, M5 (Supply T484), universal transport media, or ESwab
Specimen Volume: 1 swab
Collection Instructions:
Vaginal:
1. Collect specimen by swabbing back and forth over mucosa surface to maximize recovery of cells.
2. Place swab back into swab cylinder.
Urethra or Cervical:
1. Collect specimen by inserting swab 1 to 3 cm and rotating 360 degrees.
2. Place swab back into swab cylinder.
Wound:
1. Collect specimen by swabbing back and forth over wound surface to maximize recovery of cells.
2. Place swab back into swab cylinder.
Specimen Type: Fluid
Sources: Pelvic fluid, amniotic fluid, prostatic secretions, semen, reproductive drainage or fluid, synovial fluid, pleural/chest fluid, chest tube fluid, pericardial fluid, sputum, tracheal secretions, bronchial washings, bronchoalveolar lavage, lung; nasal washings (only infants <3 months)
Container/Tube:
Preferred: Sterile container
Acceptable: Container with 3 mL of transport media: M4, M5 (Supply T484), or universal transport media
Specimen Volume: 1-2 mL
Specimen Type: Urine, kidney/bladder stone, ureter
Container/Tube: Sterile container
Specimen Volume: 10 mL or entire specimen
Specimen Type: Tissue
Sources: Placenta, products of conception, respiratory, bronchus, chest/mediastinal, bone, joint
Container/Tube: Sterile container
Specimen Volume: 5 mm(3)
Collection Instructions: Submit only fresh tissue.
Specimen Type: EDTA plasma
Container/Tube: Sterile vial
Specimen Volume: 1 mL
Specimen Type: Whole blood
Container/Tube:
Preferred: Lavender top (EDTA)
Acceptable: Royal blue top (EDTA), pink top (EDTA), or sterile vial containing EDTA aliquot
Specimen Volume: 1 mL
Collection Instructions: Send specimen in original tube.
Temperature: Refrigerate
Tube Type: VARIES
Collection Info:
Specimen source is required.
Submit only 1 of the following specimens:
Specimen Type: Swab
Sources: Cervix, urethra, urogenital, vaginal, chest/mediastinal; bronchus (donor swab); upper respiratory sources (only infants <3 months: nasopharynx, nose, throat)
Container/Tube:
Preferred: Culture swab transport system (Dacron or rayon swab with aluminum or plastic shaft with either Stuart or Amies liquid medium)
Acceptable: Swab in transport media: M4, M5 (Supply T484), universal transport media, or ESwab
Specimen Volume: 1 swab
Collection Instructions:
Vaginal:
1. Collect specimen by swabbing back and forth over mucosa surface to maximize recovery of cells.
2. Place swab back into swab cylinder.
Urethra or Cervical:
1. Collect specimen by inserting swab 1 to 3 cm and rotating 360 degrees.
2. Place swab back into swab cylinder.
Wound:
1. Collect specimen by swabbing back and forth over wound surface to maximize recovery of cells.
2. Place swab back into swab cylinder.
Specimen Type: Fluid
Sources: Pelvic fluid, amniotic fluid, prostatic secretions, semen, reproductive drainage or fluid, synovial fluid, pleural/chest fluid, chest tube fluid, pericardial fluid, sputum, tracheal secretions, bronchial washings, bronchoalveolar lavage, lung; nasal washings (only infants <3 months)
Container/Tube:
Preferred: Sterile container
Acceptable: Container with 3 mL of transport media: M4, M5 (Supply T484), or universal transport media
Specimen Volume: 1-2 mL
Specimen Type: Urine, kidney/bladder stone, ureter
Container/Tube: Sterile container
Specimen Volume: 10 mL or entire specimen
Specimen Type: Tissue
Sources: Placenta, products of conception, respiratory, bronchus, chest/mediastinal, bone, joint
Container/Tube: Sterile container
Specimen Volume: 5 mm(3)
Collection Instructions: Submit only fresh tissue.
Specimen Type: EDTA plasma
Container/Tube: Sterile vial
Specimen Volume: 1 mL
Specimen Type: Whole blood
Container/Tube:
Preferred: Lavender top (EDTA)
Acceptable: Royal blue top (EDTA), pink top (EDTA), or sterile vial containing EDTA aliquot
Specimen Volume: 1 mL
Collection Instructions: Send specimen in original tube.
Specimen Acceptability
Reject Due To
NA
Lipemia
NA
Icterus
NA
Other
Cotton or calcium alginate-tipped swab, wooden shaft swab, transport swab containing gel or charcoal, formalin-fixed and/or paraffin-embedded tissues, Port-a-Cul tube, anaerobic fluid via
NA
Lipemia
NA
Icterus
NA
Other
Cotton or calcium alginate-tipped swab, wooden shaft swab, transport swab containing gel or charcoal, formalin-fixed and/or paraffin-embedded tissues, Port-a-Cul tube, anaerobic fluid via
Clinical Utilities
Useful For
Rapid, sensitive, and specific identification of Mycoplasma hominis from synovial fluid, genitourinary, reproductive, lower respiratory sources, pleural/chest fluid, pericardial fluid, and wound specimens
Rapid, sensitive, and specific identification of Mycoplasma hominis from synovial fluid, genitourinary, reproductive, lower respiratory sources, pleural/chest fluid, pericardial fluid, and wound specimens
CPT Codes
87798
* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.
