Ordering Recommendation

Acceptable for routine 3-year interval cervical cancer screening in women 25-65 years; preferred test is Human Papillomavirus (HPV), High Risk with 16 and 18 Genotype by PCR, SurePath (2011933).

Mnemonic
GR REQUEST
Methodology

Microscopy/ Qualitative Polymerase Chain Reaction

Performed

Sun-Sat

Reported

1-7 days, if reflexed, add 2 days

New York DOH Approval Status
Specimens from New York clients will be sent out to a New York DOH approved laboratory, if possible.
Specimen Required
Patient Preparation
Collect

Cervical specimen in a SurePath collection kit, Rovers Cervex-brush Kit (ARUP Supply #22216), PAP Perfect Plastic Spatula and Cytobrush Plus GT Collection Kit (ARUP Supply #41126), or Rovers Cervex-Brush Combi Collection Kit (ARUP Supply #45031) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. For specific instructions refer to Specimen Collection and Handling.

Specimen Preparation

Transport cervical specimen in the original collection kit.

Storage/Transport Temperature

Room temperature.

Unacceptable Conditions

Specimens not collected in a SurePath collection kit. Expired preservative vials or vials received without the collection devices.

Remarks
Stability

Ambient: 1 month; Refrigerated: 6 months; Frozen: Unacceptable

Reference Interval
Interpretive Data

Refer to report.

Compliance Category

FDA

Note

If the SurePath Pap Test is interpreted as atypical squamous cells of undetermined significance (ASC-US), then Human Papillomavirus (HPV), High Risk with 16 and 18 Genotype by PCR, SurePath (ARUP test code 2011933) will be added. Additional charges apply.

Hotline History
N/A
CPT Codes

88142, if reviewed by pathologist add 88141.  If reflexed add 87624.

Components
Component Test Code* Component Chart Name LOINC
2000507 SurePath Pap Reflex Specimen Source
2000508 SurePath Pap Reflex Clinical History
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • HPV PCR
  • Pap Test
  • SurePath Pap reflex to HPV HR
  • SurePath Pap Test
  • SurePath Pap Test with reflex to HR HPV
Cytology, SurePath Liquid-Based Pap Test with Reflex to Human Papillomavirus (HPV), High Risk with 16 and 18 Genotype by PCR, SurePath