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Test Code ROFM Rupture of Fetal Membranes (ROM) Test

Additional Codes

Ordering Mnemonic



Amnisure® Test Kit--immunochromatography

Performing Laboratory

Holland Hospital Laboratory Services

Specimen Requirements

Container/Tube: Amnisure® Test vial (obtained from Laboratory Services)

Collection Instructions: A sample of amniotic fluid (taken by vaginal swab) is placed into the Amnisure® test vial and delivered to the laboratory within 30 minutes (up to 6 hours, if refrigerated).

Specimen Transport Temperature

Refrigerate for up to 6 hours.

Day(s) Test Set Up

Monday through Sunday

Reference Values

Negative for PAMG-1 protein.

Test Classification and CPT coding