Human Papillomavirus (HPV) High Risk Screen, by Transcription-Mediated Amplification (TMA), ThinPrep
Ordering Recommendation
FDA-approved test for routine cervical cancer screening in combination with cervical cytology (pap smear) in individuals 30 years or older with a cervix. Follow-up test for abnormal cytology results in individuals 21 years or older with a cervix.
New York DOH Approval Status
Specimen Required
Females should avoid high concentrations of antifungal cream or contraceptive jelly, and should not douche prior to time of collection.
Cervical, anal, or vaginal specimen with brush or spatula from ThinPrep kit and place in PreservCyt Media
Transport original ThinPrep or briefly vortex and transfer 1 mL to an Aptima Specimen Transfer Tube (ARUP supply #42711). Available online through eSupply using ARUP Connect ™ or contact ARUP Client Services at 800-522-2787. To reduce the potential for contamination, ThinPrep specimens should be poured off, using sterile technique, into the Aptima Specimen Transfer Tube prior to cytology testing.
Refrigerated
Bloody or dark brown specimens. Specimens in any media other than indicated above.
Specimen source required.
Ambient: 1 month; Refrigerated: 105 days; Frozen: Unacceptable
Methodology
Qualitative Nucleic Acid Amplification (NAA)
Performed
Sun-Sat
Reported
1-5 days
Reference Interval
Negative
Interpretive Data
This test detects E6/E7 viral messenger RNA of 14 high-risk HPV types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68) associated with cervical cancer and its precursor lesions. This test does not discriminate between the 14 high-risk HPV types. 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.
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
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0060752 | HPV Source | 31208-2 |
2007891 | HPV, High Risk by TMA | 49896-4 |
Aliases
- HPV HR E6/E7 TMA
- HPV RNA
- Nucleic Acid Amplification Test (NAAT) HPV PCR, HPV TMA