HPV DNA, High Risk, Cervical with reflex to Genotypes 16,18

Test Code
93254


CPT Codes
87624<br>Restricted Client Code

Includes
If HPV DNA, High Risk, Cervical is Detected then HPV Genotypes 16 and 18, Cervical will be performed at additional cost (CPT code(s): 87625).


Preferred Specimen
ThinPrep®: 4 mL PreservCyt® fluid collected in a PreservCyt® liquid based pap smear collection vial, or
SurePath™: 2 mL SurePath fluid collected in a SurePath™ liquid-based pap smear vial


Minimum Volume
ThinPrep®: 2 mL
SurePath™: 1 mL


Instructions
Collect the sample as usual according to the manufacturer's instructions.


Transport Temperature
Room temperature


Specimen Stability
ThinPrep®
Room temperature: 90 days
Refrigerated: 90 days
Frozen: Unacceptable

SurePath™
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Cervical swabs in Digene® HC cervical sampler • Unprocessed Cytyc® media without cervical brush/broom • Swabs • Digene® vials • SurePath™ pellet • Samples treated with acetic acid • Vaginal sources • Biopsy


Methodology
Real-Time PCR

Setup Schedule
Set up: Tues-Sat; Report available: 4-7 days


Reference Range
Not detected


Clinical Significance
HPV is the causative agent of cervical dysplasia and cervical carcinoma. This assay detects high-risk HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. The reflex test only identifies whether the high risk types detected are genotypes 16 or 18.




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.