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Test Code AMSUR Amnisure

Clinical Indications

N/A

Additional Test Codes

Epic Order Name: Amnisure ROM
Sunquest Order Code: AMSUR
Px Order Code: LAB7113

Specimen Collection Type

A sample of amniotic fluid (taken by vaginal swab) is placed into a vial provided with AmniSure solvent. The
solvent extracts the sample from the swab for one minute, after which the swab is
disposed. The test does not require speculum examination.

Minimum Collection Volume

N/A

Reference Range

Negative

Critical Value

N/A

Interpretation

N/A

Rejection Criteria

Grossly bloody specimen

Specimen Availability for Add-on Testing

Not Available

Specimen Stability

Must be tested immediately after collection

Day(s) Performed

Monday through Sunday

Performing Lab- Department

TUKHS-BH-Chemistry

CPT Code

84112

LOINC Code

50385-4

Test Alias

N/A

Additional Information / Notes

In cases of only trace amounts of blood on the swab, the test still functions properly. AmniSure® should not be used earlier than 6 hours after the removal of any disinfectant solutions or medicines from the vagina. Placenta Previa, and performing digital exams prior to sample collection can lead to inaccurate test results. The performance of the AmniSure Test has not been established in the presence of the following contaminants: meconium, anti-fungal creams or suppositories, K-Y Jelly,
Monistat, Baby Powder (Starch and Talc), Replens, or Baby Oil