Human Papillomavirus (HPV) Genotypes 16 and 18/45, by Transcription-Mediated Amplification (TMA), ThinPrep
Ordering Recommendation
FDA-approved test to assess the presence or absence of high-risk HPV genotypes 16, 18, and/or 45, only as a follow-up to an Aptima HPV assay positive result in individuals 21 years and older with ASC-US and in individuals 30 years and older in conjunction with cervical cytology test results.
New York DOH Approval Status
Specimen Required
Patient 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
Wed, Sat
Reported
1-5 days
Reference Interval
Negative
Interpretive Data
This test detects E6/E7 viral messenger RNA of the high-risk HPV types 16, 18, and 45 only. It is intended for use in women 21 years and older with ASC-US cervical cytology results and in women 30 years and older as a follow-up to a positive high-risk HPV screen. 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. This test is not intended for use as a stand-alone test.
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
87625
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
2005402 | HPVG Source | 31208-2 |
2007895 | HPV Genotype 16 by TMA | 59263-4 |
2007896 | HPV Genotype 18/45 by TMA | 59264-2 |
Aliases
- HPV 16 genotype, HPV 18 genotype
- HPV HR E6/E7 TMA
- HPV RNA
- Nucleic Acid Amplification Test (NAAT) HPV PCR, HPV genotype, HPV genotyping