Group A Strep Antigen

Laboratory - : Microbiology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

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TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Group A Strep Antigen
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

STRPA

Test Workstation :

MMIC1

Specimen Type:

Throat swab

Tube Type:

Rapid Strep dual swab; obtain from Central Supply

Collection Volume:

1 dual swab

Cause for Rejection:

Incorrect swab used to collect specimen, any specimen type other than throat.

Storage:

Ambient

Availability:

Daily

Methodology:

Immunochromatographic Assay

Special Instructions:

To obtain the best results, two swabs should be used together to swab the back of the throat and tonsillar area. The extra swab may be used for Strep culture if ordered. Deliver to lab ASAP. The Strep culture must be ordered in addition to the Group A Strep Antigen test. If the Group A Strep Ag is positive, a Strep culture is not done. Note:The Rapid Strep test has not been validated for rectal or vaginal swab specimens. For these specimen types, order a Strep culture.

Lab/Phone:

330-746-9623

TAT:

30 minutes

CPT Code:

87430

Synonyms:

Rapid Strep Test; Rapid Screen for Group A Strep

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Group A Strep Antigen

Laboratory - : Microbiology

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