Surepath With HPV

Test Code
LAB3816


CPT Codes
87624, 88142

Includes
PAP results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141; HCPCS: G0124)


Preferred Specimen
Pap sample collected with a cytobroom and spatula. Cytobroom tip submitted in a SurePathâ„¢ collection vial


Instructions
Provide all patient information using the Cytology test requisition. Brush/Spatula Device (PAPPerfect Spatula and CytoBrush GT) 1. Complete the test requisition. 2. Record the patient's First Initial and Full Last Name or unique identifier on the vial. 3. Select contoured end of PAP Perfect plastic spatula and rotate 360° around the entire exocervix while maintaining tight contact with exocervical surface. 4. Visually locate the notched score line on the side of the spatula handle, about 4 cm from the contoured collection end. With gloved hand(s) and one single, quick, and firm SNAP, separate the contoured end from the rest of the spatula handle. Do not touch collection end. Drop this contoured end into a vial of SurePath preservative (supplied by TriPath Imaging, Inc.). Discard remaining device handle end of the spatula after each use. Place cap on vial until step 6; do not tighten cap. 5. Insert Cytobrush Plus GT device into the endocervix until only the bottom-most bristles are exposed at the os. Slowly rotate 1/4-1/2 turn in one direction. To reduce unnecessary bleeding, do not over-rotate brush. Over-rotation may result in poor sample collection. Remove cytobrush device. 6. Visually locate the notched score line on the side of the cytobrush handle, about 4 cm from the brush tip. With gloved hand(s) and one single, quick, and firm SNAP, separate the brush head-short handle from the rest of brush handle. Do not touch collection end. Drop brush head-short handle into the same vial of SurePath preservative. Discard remaining device handle end of cytobrush. 7. Tighten the SurePath vial cap so the torque line on the cap passes the torque line on the vial. Attach to SurePath vial an appropriate requisition form and send to lab in a specimen bag for transport to the laboratory. Broom-Like Device (Rover's Cervex-Brush) 1. Complete the Cytology test requisition. 2. Record the patient's First Initial and Full Last Name and unique identifier on the vial. 3. Obtain an adequate sampling from the cervix using a broom-like device. 4. Insert the central bristles of the broom into the endocervical canal deep enough to allow the shorter bristles to fully contact the ectocervix. Push gently, and rotate the broom in a clockwise direction five times. Do not rotate in a counterclockwise direction. 5. Remove and "pop-off" broom head into the SurePath vial. 6. Tighten the cap so the torque line on the cap passes the torque line on the vial. 7. Place the vial and requisition in a specimen bag for transport to the laboratory.


Methodology
Liquid Based-Density Gradient Sedimentation, Transcription-Mediated Amplification (TMA)



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.