Cytology, Diagnostic Thin Layer Cervical-Vaginal Pap Test (Fairview Range only)


Sunquest Code:PTLDCTCoPath Code:PTLDCT
Epic Code:LAB4604Epic Name:A Pap Thin Layer Prep Diagnostic
Synonyms:Autocyte, Cervical Smear; Diagnostic Pap; Endocervical Cytology; Pap Smear; Papanicolaou Smear; SurePath Pap; Thin Layer Pap; Thin Prep Pap; Vulvar Cytology
Methodology:Preferred methodology SurePath Pap Test. Thin Layer: Processing utilizing SurePrep or Thin Prep processing devices, staining and microscopic evaluation
CPT Code:88142
Test Includes:Pathologist consultation fee is added if potentially abnormal. Note: Molecular testing for HPV DNA is possible when using thin layer, liquid collection methodology if reflex is requested by the physician.
Turnaround Time:Performed Mon-Fri, 0800-1500; results are reported within one week.
Special Instructions:

Provide pertinent clinical history.

 

Screening Paps are covered by Medicare:

·       Once every two years in absence of complaint or identified risk factor

 

Diagnostic Paps are covered by Medicare:

·       Once annually if patient is considered high risk (per Medicare criteria):

1.     Early onset sexual activity (under 16 years of age)

2.     Multiple sexual partners (five or more in a lifetime).

3.     History of a sexually transmitted disease (including HIV)

4.     Fewer than three negative Pap tests within the past seven years.

5.     Daughters of women who took DES (diethylstilbestrol) during pregnancy.

6.     Women of childbearing age who have had a Pap test indicating the presence of cervical cancer or other abnormality within the past three years.

 

 



Collection Instructions

Specimen:Cervical Smear
Collection Instructions:

Thin Layer/SurePath™:

·          Label the vial of Sure Path™ preservative fluid. SurePath vial must contain at least 2 patient identifiers: patient name, date of birth, medical record number.

·          Using a Rover’s Cervex brush®, place the brush on cervix and rotate clockwise five rotations. Disconnect the brush tip into the preservative vial. Cap the vial and send to the Cytology Laboratory with completed request form. (Cervical scraper and endocervical brush combo is also available from the Cytology Lab, 612-273-4143). All collection devices should be placed in the vial when sending.

 

HPV Testing:

·          If HPV testing is requested, please note on the request form.

 



Processing and Shipping

Test Performed at or Referral Lab Cytology  (Fairview Range - FRMC)


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