ThinPrep® Pap with Reflex to HPV mRNA E6/E7

Message

Effective 11/09/2023: Test will be obsolete. 
Testing is being replaced with Imaging Pap and HPV mRNA test codes. The recommended replacement codes are listed below.
TPRHI [LAB13988] ThinPrep Pap w/ Image Analysis reflex to HPV


Test Code
TPHPL


Alias/See Also

Epic: LAB13044




CPT Codes
88142<br><strong>This test is not available for California patient testing.</strong>

Includes
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
If ThinPrep® Pap result is ASCUS, then HPV mRNA E6/E7 will be performed at an additional charge (CPT Code(s): 87624).


Preferred Specimen
Pap sample collected in 1 ThinPrep® pap vial


Minimum Volume
1 ThinPrep vial


Instructions


Transport Temperature
Room temperature


Specimen Stability
Pap
Room temperature: 42 days
Refrigerated: Unacceptable
Frozen: Unacceptable

HPV - ThinPrep Pap vial
Room temperature: 30 days
Refrigerated: 105 days
Frozen: Unacceptable

ThinPrep in Aptima® transfer tube
Room temperature: 60 days
Refrigerated: 60 days
Frozen: 24 months

Refer to local service area for specimen retention


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
ThinPrep pap vials received refrigerated or frozen • Swabs • Cervical swabs in Digene® HC cervical sampler • Digene® vials


Methodology
Hologic ThinPrep® System

Reflex: Transcription-Mediated Amplification (TMA)

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.


Performing Laboratory
Quest Diagnostics Nichols Institute 14225 Newbrook Drive Chantilly, VA 20153


Last Updated: November 1, 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.