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

Test Code
93254


CPT Codes
87624<br /> ***RESTRICTED USE*** This code is available to Client #23 ONLY

Includes
If HPV DNA, High Risk is Detected, HPV Genotypes 16 and 18 will be performed at an additional charge (CPT code: 87625)


Preferred Specimen
ThinPrep®: 4 mL of PreservCyt® fluid in liquid-based pap smear vial
SurePath™: 2 mL of SurePath™ fluid in 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 PreservCyte® fluid
Room temperature: 90 days
Refrigerated: 90 days
Frozen: Unacceptable
SurePath™ fluid
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable


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


Methodology
Real-Time Polymerase Chain Reaction

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


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.