Human Papillomavirus Screen and Typing Non-Cervical


Sunquest Code:HPVMD  
Epic Code:LAB4618Epic Name:HPV Screen with Reflex to Genotype
Sunquest Code (non-Epic sites):MD  
Synonyms:Molecular; Human Papillomavirus Screen, Cervical Cancer; HPV Screen
Methodology:Amplification of DNA, restriction endonuclease digest of PCR product for HPV typing
CPT Code:87624, G0452
Test Includes:Screening for presence of human papillomavirus virus and typing of all positives.
Turnaround Time:Performed Mon-Fri; results are reported within 10 days.
Special Instructions:Anal pap smears can be automatically reflexed for this testing by indicating on request form.
Compliance:

This test was developed and its performance determined by the University of Minnesota Medical Center Molecular Diagnostic Laboratory. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Pursuant to the requirements of CLIA '88, this laboratory has established and verified the test's accuracy and precision. This test is used for clinical purposes.



Collection Instructions

Specimen:Tissue, fixed tissue, anal pap samples
Optimal Volume:5 mm x 5 mm x 5 mm fresh tissue; 1 block paraffin embedded tissue (sufficient for 60-100 ten micron sections); anal pap smear collection brushes
Minimum\Peds Volume:3 mm x 3 mm x 3 mm fresh tissue
Collection Instructions:Fresh tissue and cytobrushes should be delivered to laboratory within 1 hour or placed in RPMI and transported same day at 4° C, or frozen at -70° C (liquid nitrogen or dry ice). Paraffin embedded tissue is also acceptable; indicate fixative used.
Causes for Rejection:Necrotic tissue


Processing and Shipping

Specimen Processing:Fresh tissue should be frozen on dry ice within 1 hour of collection. Store fixed tissue at room temperature.
Shipping Instructions:Ship specimens Mon-Fri to arrive by 1400 on Fri. Ship frozen tissue on dry ice. Paraffin embedded tissue may be shipped at room temperature.
Test Performed at or Referral Lab Molecular Diagnostics  (UMMC-East Bank)


Interpretive

Reference Range:Results are reported as "negative for HPV DNA" or if positive results are "positive for high risk". The specific HPV type(s) is reported for all types.
Use:Diagnose the presence and type of human papilloma virus in tissues. The common use of this test is in the characterization of cellular atypia in samples from the skin, ororespiratory and anogenital tract.


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