A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

ThinPrep Imaging Pap

Message

Important Note



An acceptable cytology request must accompany specimen containers and include the following: Patient's name, medical record number, date of birth, sex, source (exact location and procedure used), date specimen was taken, name of ordering physician and contact number. Submit any pertinent history, clinical information, or date of last menstrual period.


Test Code
TPAPI


Alias/See Also
Epic: LAB13986


Preferred Specimen

Specimen source is required.

Submit only 1 of the following specimens:

Broom Collection Device:
Specimen Type: Cervical (endocervical or ectocervical)
Collection Container: ThinPrep/PreservCyt vial
Specimen Volume: 20 mL of solution in ThinPrep/PreservCyt vial

Endocervical Brush/Spatula Collection Device:
Specimen Type: Ectocervix and endocervix
Collection Container: ThinPrep/PreservCyt vial
Specimen Volume: 20 mL of solution in ThinPrep/PreservCyt vial​
 




Patient Preparation
Original ThinPrep/PreservCyt collection vial is required for testing.

For optimal interpretation, Pap smears should be collected near the middle of the menstrual cycle. Avoid douching, lubricant use, and sexual intercourse for 24 hours prior to specimen collection.


Instructions
Broom Collection Device:
  1. Obtain adequate sampling from cervix using a broom-like collection device. If desired, use lukewarm water to warm and lubricate the speculum. 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 5 times.
  2. Rinse the broom as quickly as possible into the PreservCyt solution vial by pushing broom into bottom of vial 10 times, forcing the bristles apart.
  3. As a final step, swirl broom vigorously to further release material. Discard the collection device.
  4. Tighten cap on vial so that the torque line on the cap passes the torque line on the vial.
  5. Specimen vial must be labeled with a minimum of 2 unique identifiers (patient's name and medical record number or date of birth).
  6. Bag ThinPrep specimens individually as they have a tendency to leak during transport.
  7. Place labels on the vial and on the bag.

Endocervical Brush/Spatula Collection Device:
  1. Obtain an adequate sampling from the ectocervix using a plastic spatula. If desired, use lukewarm water to warm and lubricate the speculum. Select contoured end of plastic spatula and rotate it 360 degrees around the entire exocervix while maintaining tight contact with exocervical surface.
  2. Rinse spatula as quickly as possible into the PreservCyt solution vial by swirling spatula vigorously in vial 10 times. Discard the spatula.
  3. Next, obtain an adequate specimen from endocervix using an endocervical brush device. Insert the brush into the cervix until only the bottommost fibers are exposed. Slowly rotate 1/4 or 1/2 turn in one direction. Do not over-rotate.
  4. Rinse the brush as quickly as possible in the PreservCyt solution by rotating the device in the solution 10 times while pushing against the PreservCyt vial wall.
  5. Swirl brush vigorously as final step to further release material. Discard the brush.
  6. Tighten the cap so that the torque line on the cap passes the torque line on the vial.
  7. Specimen vial must be labeled with a minimum of 2 unique identifiers (patient's name and medical record number or date of birth).
  8. Bag ThinPrep specimens individually as they have a tendency to leak during transport.
  9. Place labels on the vial.


Specimen Stability

Room temperature: 30 days
Refrigerated: 30 days
Frozen: Unacceptable




Setup Schedule

Monday - Friday




Report Available

7 days




Reference Range
See laboratory report


Performing Laboratory

Inova Laboratories

2832 Juniper Street

Fairfax, VA 22031



Additional Information
ThinPrep Pap Collection Guide

Last Updated: May 10, 2023
Last Review: N. Wolford, May 9, 2023


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.