ThinPrep TIS Pap (REFL) HPV DNA reflex to Genotypes 16,18

Test Code

13728

CPT Codes
88175<br>This test is not available for California patient testing<br>Restricted Client Code

Includes

If ASCUS or atypical cells are found, then HPV DNA, High Risk, Cerv w/rfl to Genotypes 16,18 will be performed at an additional charge CPT code(s) 87624).

Additional Information: Pap results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141; HCPCS: G0124).

Preferred Specimen

Pap sample collected in one ThinPrep® Pap vial

Minimum Volume

1 pap vial

Instructions

For instructions refer to
http://www.questdiagnostics.com/dms/Documents/Other/Specimen_Collection_and_Transport_Guide_2019.pdf

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 42 days
Refrigerated: Unacceptable
Frozen: Unacceptable

Refer to local service area for specimen retention

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

ThinPrep vials received refrigerated or frozen • Swabs • Cervical swabs in Digene® HC cervical sampler • Digene® vials

Methodology
Hologic ThinPrep System

Setup Schedule

Set up: Mon-Sat; Report available: 10 days

Reference Range

See Laboratory Report

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.