SurePath FP with Reflex to HPV DNA (SPRFHP)

Message
FocalPoint ® tests that are flagged as "No Further Review" will be CPT coded as 88174. In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed (CPT code(s): 88142). All SurePath ® Pap tests that require manual screening and all ThinPrep ® Imaging System tests will be CPT coded as 88175. Pap results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141; HCPCS: G0124), HPV will be performed at an additional charge (CPT code(s): 87621).


Test Code
LAB3235


Alias/See Also
Quest test code 14584


CPT Codes
88174 or 88175; HCPCS: G0144 or G0145

Preferred Specimen
Pap sample collected with a cytobroom. Cytobroom tip submitted in a SurePath ® vial. Alcohol based solution that serves as preservative and transport media for gynecological samples.


Transport Container
SurePath vial


Transport Temperature
Room temperature


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Leakage of fluid during transport; Mismatch between name of patient on vial and name on test requisition; SurePath ® (blue) vials without the head of the collection device(s) in the fluid


Methodology
Liquid Based-density Gradient Sedimentation • DNA Hybridization if HPV is added

Clinical Significance
Liquid Based Pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by The Bethesda System for Reporting Results of Cervical Cytology. Pap screening is not reliable for the detection of endometrial cancer.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.