Cytology, SurePath Liquid-Based Pap Test with Reflex to Human Papillomavirus (HPV), High Risk with 16 and 18 Genotype by PCR, SurePath

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Specimen Collection and Handling

Ordering Recommendation

Acceptable test for routine cervical cancer screening at 3-year intervals in individuals 25-65 years with a cervix. 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

View Hotline History

 

Hotline History

Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
05/18/2020
X
X
X
N/A

CPT Codes

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

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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