THIN PREP SCREENING PAP W/HPV REFLEX
General Information
HLAB/HOL Code: THPRXS
UPHSM LIS Test #: 8530 or 4284, 4004 (if indicated)
Schedule: Monday - Friday
Testing Time: 1 day
Testing Lab: UP Health System-Marquette
UPHSM LIS Test #: 8530 or 4284, 4004 (if indicated)
Schedule: Monday - Friday
Testing Time: 1 day
Testing Lab: UP Health System-Marquette
Specimen Info
Only 1 specimen type required, unless otherwise specified
Volume: Rinsed exfoliated cells from collection devices.
Temperature: Ambient
Tube Type: 1 Thin Prep Pap vial
Collection Info:
1. Instruct the patient to avoid douches and the use of lubricants (i.e. KY jelly) 48-72 hours prior to examination.
2. Gently wipe the surface of the cervix with cotton swabs to remove excess blood and mucous.
3. With a plastic spatula, thoroughly scrape the entire ectocervix with emphasis on the squamocolumnar junction.
4. Rinse the spatula into the PreservCyt Solution for gynecological specimens (pink and white label), by swirling the spatula vigorously
in the vial 10 times. Discard the spatula.
5. Insert the endocervical brush into the Cervical Os until only the bottommost fibers are exposed. Slowly rotate ¼ to ½ turn in one
direction. DO NOT OVER-ROTATE.
6. Rinse the brush in the PreservCyt Solution by rotating the device in the solution 10 times while pushing the bristles against the wall of the
container. Swirl the brush vigorously to further release material. Discard the Brush.
7. Tighten the cap on the PreservCyt vial so that the torque line on the cap passes the torque line on the vial.
8. Record the patient's name and hospital ID number on the vial.
9. Deliver the specimen to the MGH Cytology Department as soon as possible. PreservCyt Solution is a methanol based transport media
that will preserve cells for approximately 3 weeks at room temperature.
NOTE:
Pertinent clinical information regarding the patient's age, LMP, past gynecological surgery, previous malignancy, exogenous hormone
therapy, radiation/chemotherapy, history of previous abnormal pap smears or history of abnormal vaginal bleeding is required for processing.
Temperature: Ambient
Tube Type: 1 Thin Prep Pap vial
Collection Info:
1. Instruct the patient to avoid douches and the use of lubricants (i.e. KY jelly) 48-72 hours prior to examination.
2. Gently wipe the surface of the cervix with cotton swabs to remove excess blood and mucous.
3. With a plastic spatula, thoroughly scrape the entire ectocervix with emphasis on the squamocolumnar junction.
4. Rinse the spatula into the PreservCyt Solution for gynecological specimens (pink and white label), by swirling the spatula vigorously
in the vial 10 times. Discard the spatula.
5. Insert the endocervical brush into the Cervical Os until only the bottommost fibers are exposed. Slowly rotate ¼ to ½ turn in one
direction. DO NOT OVER-ROTATE.
6. Rinse the brush in the PreservCyt Solution by rotating the device in the solution 10 times while pushing the bristles against the wall of the
container. Swirl the brush vigorously to further release material. Discard the Brush.
7. Tighten the cap on the PreservCyt vial so that the torque line on the cap passes the torque line on the vial.
8. Record the patient's name and hospital ID number on the vial.
9. Deliver the specimen to the MGH Cytology Department as soon as possible. PreservCyt Solution is a methanol based transport media
that will preserve cells for approximately 3 weeks at room temperature.
NOTE:
Pertinent clinical information regarding the patient's age, LMP, past gynecological surgery, previous malignancy, exogenous hormone
therapy, radiation/chemotherapy, history of previous abnormal pap smears or history of abnormal vaginal bleeding is required for processing.
Methods
Thin Prep Pap technology
CPT Codes
G0123,
G0145,
87621 (if HPV indicated)
88141 - If pathologist pap review required.
G0145,
87621 (if HPV indicated)
88141 - If pathologist pap review required.
* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.
Reference Range
Interpretive pap report with Behesda Nomenclature
