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Test Code ROM Rupture of Fetal Membrane

Additional Codes

LAB12876

Collection Method

1. Open the AmniSure test kit and remove the contents


2. Shake the solvent vial to make sure that all of the liquid in the vial settles to the bottom.


3. Open the solvent vial and place it in a vertical position


4. Insert the sterile polyester swab from the AmniSure test kit into the vagina for 2-3 inches. Withdraw the swab after one minute has elapsed


5. Place the polyester swab tip into the vial, break off excess part of swab and send specimen to the lab. (As soon as possible).


6. Properly identify the solvent vial labeling the specimen with the patients name (Pathnet Label). Provide the date, time and Collector initials on the label.

Container

Plastic vial with solvent included in AmniSure ROM kit

Acceptable Specimens

Vaginal

Reference or Target Ranges

Negative

Reportable Units

Positive or Negative

Critical Value

Not defined for this assay

Reasons for Rejection

  • Significant presence of blood on the swab, the test can malfunction and is not recommended.
  • False negative results may occur when the sample is taken more than 12 hours after the fetal membrane rupture has occurred.

Specimen Stability

The sample must be tested within 30 minutes of collection, if specimen is stored at room temperature. If absolutely necessary, the sample may be held in the refrigerator (4°C) by the lab for up to 6 hours.

Performance Information

Days and Time Performed 24/7
Expected Turn Around Time Stat:  1 hour
Routine: 4 hours
Stat Availability Yes
Performing Bench CPH Serology
Methodology/Method Description Qiagen AmniSure ROM

CPT Codes

84112

Last review/edit date

March 2024