CYTOLOGY, THIN PREP, ANAL PAP

Message

Note: Every specimen should include a completed cytopathology non-gynecological examination form.

Test Code

CY NON GYN (MSH), CYNONGYNHC (HCH)

Alias/See Also

Anal Pap; Anal Cytology

CPT Codes
88112

Preferred Specimen

ThinPrep PreservCyt vial (GREEN)

See Anal Cytology specimen collection below.

Patient Preparation
None

Minimum Volume

Entire ThinPrep Vial

Other Acceptable Specimens

CytoLyt Solution

The green vial allows distinction from the pink. Samples will not be rejected if collected in the pink vial. However, anal paps cannot be processed in the same manner as a traditional ThinPrep pap.

Instructions

Transport in a purple irretrievable specimen bag with an anal source label affixed to bag to differentiate from routine paps.

Transport Container

ThinPrep PreservCyt vial

Transport Temperature

Room Temperature

Specimen Stability

Sample submitted in PreservCyt: 6 weeks from the date of collection maintained at room temperature

Sample submitted in CytoLyt: 8 days at room temperature

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Samples will be rejected if collected using a lubricant containing carbomers. See approved list of lubricants below.

Methodology
Microscopic Evaluation

FDA Status
Not FDA approved for HPV testing

Setup Schedule

M, T, W, Th, F

Report Available

Report available within 7 days of receipt

Limitations

Scanty Cellularity; Obscuring Inflammation/Blood; Anal transformation zone not represented

Reference Range

Negative for Intraepithelial Lesion or Malignancy to Positive for Malignancy

Clinical Significance

The nature of possible underlying disease states, including cancer or infections, can often be detected by microscopically visualizing cytological changes in cells which are exfoliated and captured by fluid extraction from body cavity, brushings, washings, or fine needle aspirations.

Performing Laboratory
Alverno Central Lab

Additional Information
Anal Cytology Specimen Collection
Approved Lubricant List

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.