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Test Code LAB20002-SPSCRHPV Gynecologic Thin Layer Pap Smear (Surepath™) - Screen, HPV High Risk w/Genotyping if ASCUS

Department

CYTOLOGY

Collection Requirements

COLLECTION

- Rotate Rover Cervex® brush 5 times in same direction while applying soft pressure upon patient’s cervix.

- Detach broom head @ neck and deposit into CytoRich Preservative-filled vial. Discard blue plastic handle.

- Send entire specimen-filled vial with proper paperwork to Covenant Laboratory.

GENERAL REQUIREMENTS All cytology specimens submitted for testing should have the following information included on the requisition. Vials must be clearly labeled with patient identifier and contain collection device. Specimens accepted only from physician’s or designee. -Patient Name -Date of Birth -Date of Specimen Collection -Source of Cytologic Material -Submitting Clinician’s Name -MRN -LMP if Applicable -Pertinent Clinical Information -Diagnosis Code

Transport

Ambient

Preferred Transport Temperature

Ambient

Stability

Ambient: 14 days

Minimum Testing Volume

8.0 mL ± 0.5 mL

Reference Range

By report

Methodology

SurePath Prep Stain Processor

TriPath Imaging Focal Point Profiler

Performed

Monday – Friday

Reported

Varies

CPT Codes

88175, Medicare Patients G0145, 87624 IF ASCUS

Unacceptable Conditions

Any of the above listed conditions under general requirements is omitted.Expired SurePath™ vials or vials received without the collection devices will not be processed. Do not use SurePath™ solution beyond expiration date marked on the vial. Containers with excessive leakage. Specimen vial without patient name or unique identifier. Name on vial does not match name on requisition.

Additional Information

The pap smear is a screening test with inherent false negative and false positive results. A negative report indicates a low probability of significant cervical pathology within the prescribed screening interval. Your patient’s test results, together with history and clinical findings, should be interpreted in this context.

Test also includes HPV High Risk if ASCUS.