Ordering Recommendations

This is a rapid enzyme immunoassay for glutamate dehydrogenase antigen and toxins A & B for the detection of  C. difficile in stool specimens.

 

This test is recommended for Ambulatory ordering locations 

Orderable SIM Number(s)

C. DIFFICILE ANTIGEN AND TOXIN A/B (LAB257)

Synonyms

  • C Diff
  • CGTAB
  • Clostridioides
  • LAB257

Collect

Liquid stool, that takes the shape of the container, collected in a clean sterile container.

Preferred specimen: 

  • 10 mL of liquid stool in clean vial (white)


Alternate specimen: 

  • 10 mL of liquid stool in Cary Blair transport media (orange)

Minimum sample: 3 mL

Pediatric Collection

3 mL of stool in a clean screw top vial or Cary Blair

Storage/Transport Temperature

Refrigerate up to 24 hours.  Freeze if testing will not be performed within 72 hours.

Unacceptable Conditions

Stool sent in other additives.
Any non-liquid stool that fails to conform to the shape of the container.
Rectal swab.

Reference Interval

Negative for C. difficile toxin A/B

Interpretive Data

Critical Value: Positive for C. difficile Toxin A/B 

CPT Codes

87449 and 87324

Billable SIM Number(s)

331257 and 331258

LOINC

  • 34468-9
Overview

Ordering Recommendations

This is a rapid enzyme immunoassay for glutamate dehydrogenase antigen and toxins A & B for the detection of  C. difficile in stool specimens.

 

This test is recommended for Ambulatory ordering locations 

Orderable SIM Number(s)

C. DIFFICILE ANTIGEN AND TOXIN A/B (LAB257)

Synonyms

  • C Diff
  • CGTAB
  • Clostridioides
  • LAB257
Specimen

Collect

Liquid stool, that takes the shape of the container, collected in a clean sterile container.

Preferred specimen: 

  • 10 mL of liquid stool in clean vial (white)


Alternate specimen: 

  • 10 mL of liquid stool in Cary Blair transport media (orange)

Minimum sample: 3 mL

Pediatric Collection

3 mL of stool in a clean screw top vial or Cary Blair

Storage/Transport Temperature

Refrigerate up to 24 hours.  Freeze if testing will not be performed within 72 hours.

Unacceptable Conditions

Stool sent in other additives.
Any non-liquid stool that fails to conform to the shape of the container.
Rectal swab.

Interpretive

Reference Interval

Negative for C. difficile toxin A/B

Interpretive Data

Critical Value: Positive for C. difficile Toxin A/B 

Coding

CPT Codes

87449 and 87324

Billable SIM Number(s)

331257 and 331258

LOINC

  • 34468-9