Test Code LABCDIF2STEP C difficile 2 Step
Clinical Information
C. difficile PCR followed by toxin testing in PCR-positive specimens.
Synonym
- CD2STEP
Specimen Required
Preferred Container/Tube: Sterile Kit White Container
Acceptable Container/Tube: Sterile Kit White Container, Sterile Container
Specimen Source: Stool
Specimen Minimum Volume: 1 mL
Processing Instructions: Stool must be sent on ice or refrigerated to the laboratory to optimize the yield of the toxin assay.
Specimen Stability Information
Refrigerated: 3 days
Rejected Due To
- Formed stool
Testing Algorithm
If C difficile by PCR is positive, then C difficile Toxin A/B by EIA will be performed at an additional charge.
Reflex Tests
Reporting Name | Available Separately | Always Performed |
---|---|---|
C difficile Toxin A/B | No | No |
Reference Values
Negative
Cautions
Only indicated in patients with 3 or more watery stools in 24 hours. Assess patients for common causes of diarrhea such as antibiotics, laxatives, stool softener, tube feedings prior to ordering.
Method Description
Polymerase chain reaction (PCR)
Performing Lab
Clinical Lab University East
Day(s) Performed
Monday through Sunday
Report Available
2 days
Reporting Name
C difficile 2 Step
CPT Code Information
87493
87449 (if appropriate)
LOINC Code Information
61367-9