HPV Primary Screen by PCR With Reflex to Cytology
Ordering Recommendation
FDA-approved test for routine cervical cancer screening in individuals 25 years and older with a cervix.
New York DOH Approval Status
Specimen Required
Cervical or endocervical specimen with brush or spatula from ThinPrep kit collection kit.
(ARUP supply #41785 ThinPrep (Vial and Broom) or #51369 ThinPrep (Vial, Brush and Spatula)) available online through eSupply using ARUP Connect or contact ARUP Client Services at 800-522-2787.
Place collection device in corresponding ThinPrep media vial.
Refrigerated
Bloody or dark brown specimens. Specimens in any media other than indicated above.
Ambient: 6 months; Refrigerated: 6 months; Frozen: Unacceptable
Methodology
Qualitative Polymerase Chain Reaction (PCR)
Performed
Tue-Sat
Reported
1-5 days
If reflexed, add 1-7 days
Reference Interval
Negative
Interpretive Data
This test amplifies DNA of HPV16, HPV18 and 12 other high-risk HPV types (31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68) associated with cervical cancer and its precursor lesions. Sensitivity may be affected by specimen collection methods, stage of infection, and the presence of interfering substances. Results should be interpreted in conjunction with other available laboratory and clinical data. A negative high-risk HPV result does not exclude the presence of other high-risk HPV types, the possibility of future cytologic abnormalities, underlying CIN2-3, or cancer.
HPV testing should not be used for screening or management of atypical squamous cells of undetermined significance (ASCUS) in women under age 21.
Depends on Specimen/Source/Method
Note
For cervical sources, a negative high-risk HPV result does not exclude the possibility of future cytologic abnormalities, underlying CIN2-3, or cancer.
Hotline History
Hotline History
CPT Codes
87624; if reflexed add 88142; if reviewed by pathologist add 88141
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0060752 | HPV Source | 31208-2 |
2011935 | HPV Genotype 16 by PCR | 77399-4 |
3016637 | HPV Genotype 18 by PCR | 77400-0 |
3016638 | HPV Media | |
3016759 | HPV Other High Risk by PCR Primary Scrn | 82675-0 |
Aliases
- HPV 16 18
- HPV High Risk
- HPV HR with Cytology
- HPV Primary Screening
- HPV ThinPrep
- HPV Typing
- Human papilloma virus