PAP AND HPV HIGH RISK PCR

Test Code
LAB2339


Preferred Specimen
1 pap sample collected in ThinPrep® vial


Minimum Volume
1 ThinPrep® pap sample • 1 SurePath™ pap sample


Other Acceptable Specimens
1 SurePath™ pap sample collected in SurePath™ vial


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

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


Transport Container
ThinPrep® pap vial


Transport Temperature
Room temperature


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

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


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received frozen • SurePath™ pellet • Samples treated with Acetic Acid • Vaginal sources • Samples from patients who have undergone a hysterectomy


Methodology
Polymerase Chain Reaction (PCR)

Setup Schedule
Report available: 2-3 days


Report Available
2-3 days


Clinical Significance
This test is used for the detection of high-risk Human Papillomavirus in clinician-collected cervical samples and can be used as part of an HPV primary screening algorithm. The test detects high-risk HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68, which are reported out as HPV 16, HPV 18, and other high-risk HPV types which includes, but does not differentiate, the remaining 12 high-risk types. Interim guidance supports the use of an HPV primary screening algorithm, where high-risk HPV testing is used as a first line screen, in women ≥25 years of age [1].

Patients should be followed-up in accordance with professional medical guidelines, results from prior screening, medial history, and other risk factors.

Specimens collected in SurePath collection devices have not been validated for use in HPV primary screening algorithms. If utilizing HPV primary screening algorithms, specimens collected in ThinPrep collection devices are approved by the Food and Drug Administration (FDA).

1. Huh WK, Ault KA, Chelmow D, et al. Use of primary high- risk human papillomavirus testing for cervical cancer screening: interim clinical guidance. Obstet Gynecol. 2015;125(2):330-337. doi:10.1097/AOG.0000000000000669




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.