Patient should not have urinated for at least 2 hours prior to collection. Uncap the Aptima tube and retain the cap in your hand. All Rights Reserved. Physicians and other persons responsible for ordering clinical tests should be familiar with the following. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC 180049: Ct Ng M genitalium NAA, Urine: 180024: Mycoplasma genitalium NAA: 88226-6: 180049: Ct Ng M genitalium NAA, Urine: 180050: Chlamydia trachomatis, NAA: 42931-6: 180049: Ct Ng M genitalium NAA, Urine: 180052: Neisseria gonorrhoeae, NAA: 60256-, Read Also: What Medication Do You Take For Chlamydia. Put on clean gloves before proceeding to specimen transfer. Tests are available to detect chlamydia at home. Rectal and throat swabs are acceptable for C trachomatis and N gonorrhoeae NAAT testing. Lab/Phone: 330-543-8576 TAT: 4 hours if specimen is received when test is being run Additional Info: Positive results are called and reported to the Ohio Department of Health (ODH). 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Please note ReproSource is not a Medicare/Medicaid provider. 17. Recap the swab specimen transport tube tightly. Your doctor might order a urine culture if you have symptoms of a UTI, which can . Insert the specimen collection swab (blue-shaft swab in the package with the green printing) 2 to 4 cm into the urethra. 15. . Testing schedules may vary. Prompt treatment reduces your risk of complications, as undiagnosed chlamydia may put your health at risk. If a positive result is obtained for either Chlamydia trachomatis or Neisseria gonorrhoeae, testing for Trichomonas vaginalis is performed. Also Known As: Chlamydia/Gonococcus, Amplicor PCR; Chlamydia . Regular screening for gonorrhea in heterosexual men without symptoms is not generally recommended. Chlamydia Trachomatis And Neisseria Gonorrhoeae Detection - Test Code. 2015 the icd 9 code sets used to report medical diagnoses and inpatient procedures will be replaced by icd 10 code . (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Allow bleach to contact work surfaces and pipettors for at least one minute and then follow with a water rinse. It also states that women are more prone to be re-infected, if their partner is not getting tested and treated properly. Put on clean gloves and repeat steps 8 to 18 with subsequent specimens. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for CPT Code: 80074 Order Code: 10306 Includes: Hepatitis A IgM Antibody Hepatitis B Surface Antigen with Reflex to Confirmation Hepatitis B Core Antibody (IgM) Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR Chlamydia/N. Test Code: GCAT, CHAT, GCCAT (Battery for both tests) CPT 4 Code: 87491 (Chlamydia) 87591 (GC) Specimen Requirements: Urine: First catch urine (approximately 20 to 30 ml of initial urine stream) into urine collection cup free of any preservatives. Test Code M14 Chlamydia/GC PCR, Urine Important Note. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity; lesser volumes may not adequately rinse organisms into the specimen. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. CPT: 87491; 87591 Print Share Include LOINC in print Synonyms Chlamydia/Gonococcus, Amplicor PCR Chlamydia/Gonococcus, Aptima TMA Chlamydia/Gonococcus, LCR Test Includes Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by nucleic acid amplification technology Special Instructions Submit one specimen per test requested. CPT coding is the sole responsibility . In some cases, additional time should be Chlamydia trachomatis and Neisseria gonorrhoeae (CTNG) by Transcription-Mediated Amplification (TMA) with Reflex to CT/NG Confirmation 2011164 Copy Utility Click to copy Test Number / Name Choose the Right Test ARUP Consult assists with test selection and interpretation Sexually Transmitted Infections Go to ARUP Consult Example Reports Negative CT Equiv (CT invalid)/ GC positive: Patient self-collection instructions: Partially open the package. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima swab specimen collection kit. Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. Note: Specimens cannot be collected and used for Chlamydia/Neisseria and routine chemistry or urine culture. (Min: 0.3 mL) Storage/Transport Temperature Room temperature Unacceptable Conditions Hemolyzed, Icteric, or lipemic specimens Maintain specimen at room temperature or refrigerate (2C to 30C). Reported: 4 days from receipt of the specimen. Chlamydia is a very common sexually transmitted disease. Direct the patient to collect the first 15 50 mL of the initial urine stream in the cup provided On a LabCorp bill, does Chlamydia/GC Amplification mean the presence of Chlamydia or a test for it? Even better, they do not require a live bacterial sample. This infection can be spread by either vaginal, anal or oral sex. It is essential in preventing its complications, which could be very drastic, ranging from septicemia and joints infection, to a disseminated gonococcal infection that could infect our heart, brain and spinal cord. 12. The final volume must be between the two black lines on the device (about 2 mL). Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. You become infected with it, by having unprotected sex with a person who has the bacterium chlamydia trachomatis. Discard the brush. 4. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity; lesser volumes may not adequately rinse organisms into the specimen. 6. Tightly screw on the cap. 3. The LabCorp Test Menu is a page at LabCorp. Tightly screw on the cap. Female patients should not cleanse the labial area prior to providing the specimen. CPT Code a. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Add urine to the Aptima Combo 2 urine collection device. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Discard this swab. Do not over-rotate the brush. Testing aligns with current guidelines and recommendations. Testing schedules may vary. Insert the specimen collection swab (blue shaft swab in the package with the green printing) 2 to 4 cm into the urethra. Detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens. The people you see wont know for what you are getting tested for. Recap the swab specimen transport tube tightly. 2. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Carefully dispense the aliquot into the appropriately labeled Aptima tube. Urine contains low levels of microbes, such as bacteria or yeasts, which move from the skin into the urinary tract and grow and multiply, causing a UTI. Withdraw the swab carefully; avoid contact with the vaginal mucosa. Carefully break the swab shaft at the scoreline using care to avoid splashing of the contents. Blood tests can be used to test for the following sexually transmitted diseases: Urine tests are typically used to detect the following sexually transmitted diseases: Whether testing is done via blood or urine samples, the lab that processes those samples is looking for key indicators of an STD infection. Traditionally, NAAT takes a day or more to provide results, but there have also been rapid chlamydia tests developed using NAAT methods. 7. Tightly screw on the cap. You can contract this bacterium through having unprotected sex with an infected partner. Carefully break the swab shaft at the scoreline using care to avoid splashing of contents. Add urine to the Aptima Combo 2 urine collection device. Transport and store urine refrigerated. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. You should get tested for STDs, including chlamydia and gonorrhea, before and after every sexual encounter with new partners. Although the findings were not statistically significant, positivity appeared to. Be sure not to touch the pierceable foil cap of the Aptima tube. Care Provider Specimen: Collect vaginal fluid sample using the Gen-Probe Aptima vaginal swab kit by contacting the swab to the lower third of the vaginal wall and rotating the swab for 10 to 30 seconds to absorb fluid. Gently invert the tube two to three times to ensure complete mixing of the specimen. Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. Submit one specimen per test requested. CDC website: https://www.cdc.gov/hepatitis/hbv/pdfs/prenatalhbsagtesting_508.pdf. These days, bacterial DNA testing is considered a better option. If an at-home chlamydia test returns positive results, a doctor may suggest confirmation testing with a laboratory-based method. Tightly screw on the cap. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima Vaginal Swab Specimen Collection Kit. When you have symptoms of chlamydia, such as pain during urination, vaginal discharge and abdominal pain or unusual discharge from the penis, pain on urination or painful, swollen testicles, Having an STD in the past or a sex partner recently treated for an STD. Obtain an adequate sample from the ectocervix using a plastic spatula. Direct patient to provide a first-catch urine (approximately 20 to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Remove the swab. Dispose of the pipette tip into a biohazard bag containing absorbent material soaked with bleach. Clinical Significance Chlamydia trachomatis is a type of gram-negative bacteria that is responsible for causing Chlamydia infection. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. In such cases, the CDC recommends contacting the local or state health department to get guidance and to arrange for antimicrobial susceptibility testing.7, You May Like: Do Uti Antibiotics Cure Chlamydia, Recommended Reading: Difference Between Chlamydia And Gonorrhea. 18. Maintain specimen at room temperature or refrigerate (2C to 30C). The gold standard for diagnosing bacterial STIs, such as chlamydia and gonorrhea, used to be a bacterial culture. Transfer enough urine with pipet into the tube provided in the Aptima PCR Urine Sample Packet. It has not been cleared or approved by the US Food and Drug Administration (FDA). 8th edition, September 2017. Top 3Reference Laboratory Test Catalogs for MiscellaneousLab TestOrders: As of 23 February 2023, NorDx is transitioning to Aptima collection devices for this test. Both chlamydia and gonorrhea show the same symptoms. Direct patient to provide a first-catch urine (approximately 20 to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Do not touch the soft tip or lay the swab down. Collect 10-50mL of first portion of random urine into a sterile plastic container. 20. Microbiology Specimen Collection and Transport Guide, PreservCyt fluid (removed prior to processing of the vial on the ThinPrep processor) placed in the Gen-Probe Aptima swab transport tube, 1 mL; although up to 4 mL may be removed from the ThinPrep vial, only 1 mL of PreservCyt will be placed in the transport device, Gen-Probe Aptima swab transport or Gen-Probe Aptima specimen transfer kit with 1 mL of PreservCyt fluid (do not use swabs provided with Aptima kit), ThinPrep preservative vial processing: ThinPrep instructions for removal of material are specifically listed in the ThinPrep 2000 and ThinPrep 3000 System Operator's manual Addenda. For more information, please view the literature below. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. C. trachomatis; Its my Answered by a verified OB GYN Doctor Does a positive leukocyte esterase urine test, in the absence of anything else being positive, indicate gonorrhea or chlamydia? Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules, Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by nucleic acid amplification technology. Ordering Restrictions may apply. Testing schedules may vary. As such, health plan access, test ordering, and billing processes may differ from those of Quest Diagnostics. Tighten the cap on the ThinPrep container so that the torque line on the cap passes the torque line on the vial. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the specimen transport tube. If youve recently tested positive for chlamydia or gonorrhea, complete the treatment, then test again after 3 months to ensure the treatment was successful. Carefully insert the swab into the vagina about 2" past the introitus and gently rotate the swab for 10 to 30 seconds, making sure the swab touches the walls of the vagina so that moisture is absorbed by the swab. LabCorp Test #: 377036, CPT: 81001. The FDA has determined that such clearance or approval is not necessary. Urine testing is currently primarily used to detect bacterial STIs. LABORATORY SCREENING. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. Chlamydia cell cultures may be used in children with a suspected chlamydia infection, when evaluating potential infections in the anus or rectum, and when initial treatment for chlamydia is unsuccessful. Immediately place the swab into the transport tube and carefully break the swab shaft against the side of the tube. gonorrhoeae and T. vaginalis RNA, Qualitative, TMA, Pap Vial. Summary and Explanation of the Test . Most persons with C trachomatis detected at oropharyngeal sites do not have oropharyngeal symptoms. Routine chemistry and bacterial or fungal culture require use of the clean catch midstream collection technique. contract: oklahoma department of health 706222 hiv-1 antibody confirmation by western blot 706317 hiv-1 naa 706219 hiv-1 quanlitative rn, Read Also: How Do I Know I Have Chlamydia Female. female and male urine specimens. Recap the swab specimen transport tube tightly. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. CPT Code. Gen-Probe Pace transport system; bacterial swab specimen; transport with multiple swabs; specimen received in grossly leaking transport container; specimen submitted in fixative or additives; specimen received in expired transport media or incorrect transport device; inappropriate specimen transport conditions; specimen received after prolonged delay in transport (usually more than 72 hours); swab in transport device; unlabeled specimen or name discrepancy between specimen and request label; prequot specimens with more than 1 mL of PreservCyt added, Detect Chlamydia trachomatis and/or Neisseria gonorrhoeae. It is very essential to screen, and diagnose chlamydia in order to prevent its spread and possible long-term complications. CPT Description. A chlamydia and gonorrhea urine test, random detects chlamydia trachomatis and neisseria gonorrhoeae which is generally transmitted through sexual contact with an infected partner. Discard the collection device. Note: Client must clearly label the site/source of each Chlamydia/Gonococcus Nucleic Acid Amplification specimen. Chlamydia and gonorrhea urine tests are widely available. Insert the specimen collection swab (blue-shaft swab in the package with green printing) into the endocervical canal. Specify the exact specimen source/origin (eg, endocervical). 2. CPT Code(s): 87491; 87591; Specimen Requirements: . 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Additionally, it is possible to be re-infected with both diseases, so even if youve already been treated for chlamydia or gonorrhea, youre still susceptible to re-acquiring it. Retrieve ThinPrep vials that are to have aliquots removed. If submitting a random urine or 24-hour collection with a total volume of 500 mL, refer to 2,3 Dinor-11Beta-Prostaglandin F2 Alpha, Random Urine ( 3004160 ). Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Although much less commonly used, cell cultures can help diagnose a chlamydia infection. Clinical Significance In the specimen transfer area, place a test tube rack containing a sufficient number of Aptima tubes to the number of ThinPrep Pap specimens being tested for Ct/Ng. 3. WebCPT Code. Chlamydia and gonorrhea can also trigger early laborand pregnant women with chlamydia can spread the infection to their babies during delivery . Which specimen types are suitable for C trachomatis and N gonorrhoeae nucleic acid amplification tests (NAATs)? NOTE: if Aptima PCR Urine Sample Packet is not available transport urine in sterile container refrigerated and lab staff will aliquot into Aptima yellow label tube. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. That involved attempting to grow bacteria out of samples that were taken directly from the cervix or urethra. To reduce the chance of contaminating other specimens, work with one ThinPrep Liquid Pap specimen at a time. Direct patient to provide a first-catch urine (approximately 20 to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. ThinPrep 2000 System Operator's Manual Addendum, 70983-001-B001 Rev A. Cover the bench with clean, plastic-backed absorbent laboratory bench covers. Chlamydia , Nucleic Acid Amplification (NAA) (Urine) (LabCorp) Same day lab order delivery Share Price: $228.99 Add to cart Patient Instructions Gonorrhoeae, Nucleic Acid Amplification (NAA) (Urine) (LabCorp) Same day lab order delivery Share Price: $228.99 Add to cart Patient Instructions allowed for additional confirmatory or additional reflex tests. Vaginal, endocervical, or male urethral swab, first-void urine (patient should not have urinated for one hour prior to specimen collection), or cervical cells in liquid cytology vial. Free fact sheets, free STI medications for patients and partner (s) who test positive for Chlamydia, call the Sexual Health Program, 721-7520 (or toll free 1 877 721-7520) For additional information and references, visit SMDHU Sexual Health AIDS & Sexual Health InfoLine, 416-392-2437 Other Resources A complete menu in microbiology, serology, and cytology to meet CGPT Chlamydia/GC Amplified Probe Chlamydia trachomatis, Gonorrhea CGLP Chlamydia/GC Amplified Probe, from ThinPrep vial NAA TVLP Trichomonas Vaginalis from ThinPrep vial TPS. testing to when the result is released to the ordering provider. Note: Specimen collected in Aptima PCR Urine media contain a preservative and are stable for 30 days. When opting for concurrent cytologic and STD testing, providers should consider risk and clinical history (eg, disease prevalence, patient age, sexual history, or pregnancy) as well as specimen suitability (ie, exudates of bleeding) that can impact diagnostic reliability.1,2. Caution: The desired aliquot must be removed immediately after vortexing the vial to ensure homogeneity of the sample. This policy describes reimbursement for Infectious agent detection by nucleic acid (DNA or RNA) assays for the detection of Sexually Transmitted Infections (STI), represented by CPT codes 87491, 87591, 87661, or 87801, and submitted for reimbursement on professional and facility claim forms. You should not use serological pipettes. Testing schedules may vary. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Male urethral swab: The patient should not have urinated for at least one hour prior to specimen collection. Gently rotate the swab clockwise for two to three seconds in the urethra to ensure adequate sampling. If the soft tip is touched, the swab is laid down, or the swab is dropped, use a new Aptima Vaginal Swab Specimen Collection Kit. Question 2. When present, symptoms may include discharge or painful urination. This bacterial infection is mostly common among young adults who are sexually active. Some of the assays in this panel have not been FDA cleared or approved for the screening of blood or plasma donors, nor have assay performance characteristics been established for immunocompromised or immunosuppressed patients, cord blood, or patients less than 2 years of age. Rapid chlamydia tests can often provide a result within 30 to 90 minutes. These facilities are private, comfortable and test for diseases other than STDs. Your risk of infertility increases if you delay treatment. Use: Updated 2/28/22. Other types of chlamydia tests are available but are rarely used given the accuracy and availability of NAAT. Do not touch the soft tip or lay the swab down. Chlamydia trachomatis / Neisseria gonorrhoeae DNA, SDA Test code (s) 17305 Question 1. Hepatitis B. CDC website: www.cdc.gov/hepatitis/hbv/index.htm. Chlamydia testing looks for evidence of infection with the bacteria Chlamydia trachomatis. Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA. Test Code M14 Chlamydia/GC PCR, Urine Important Note. See test code CT/GC for genital sources. Ct/GC: Option 2: Urine Specimen: The patient should not have urinated for at least one hour prior to specimen collection. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 87491: Infectious Agent Detection by Nucleic Acid (DNA or RNA), Chlamydia trachomatis, Amplified Probe Technique : CHLAMYDIA AND GC DNA URINE; CHLAMYDIA AND GC NON-CERVICAL; Portions 2023 Mayo Foundation for Medical Education and Research. . 26 recently purchased Test Code: 183194. Female patients should not cleanse the labial area prior to providing the specimen. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection container free of any preservatives. One swab, 2 mL of a 20 mL to 30 mL urine collection, or entire liquid cytology vial, Gen-Probe Aptima swab or Aptima urine specimen transport; ThinPrep liquid cytology vial. CPT Code (s) Collect Serum Separator Tube (SST) or plain red-top tube Specimen Preparation Separate from cells ASAP or within 2 hours of collection. Labcorp Test Code For Gonorrhea And Chlamydia Urine. CPT Coding 87491 -Chlamydia trachomatis Amplified RNA 87591 -Neisseria gonorrhoeae Amplified RNA 87661 -Trichomonas vaginalis Amplified RNA Test Classification Female urine for CT/GC and male urine for Trich samples: This test has been modified from the manufacturer's instructions. Nucleic acid amplification testing is recommended for detection of Chlamydia trachomatis from endocervical or urethral specimens. Rinse the collection device in the PreservCyt solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. Female patients should not cleanse the labial area prior to providing the specimen. Endocervical swab: Remove excess mucus from the cervical os and surrounding mucosa using the cleaning swab (white-shaft swab in the package with red printing).
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