SurePath™ Pap and HPV DNA with Reflex to HPV 16,18

Test Code

92245

CPT Codes
87624, 88142<br><strong>This test is not available for California patient testing.</strong>

Includes

SurePath™ Pap
HPV DNA, High Risk with Reflex to Genotypes 16,18

Pap results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141; HCPCS: G0124).
For Interpretations of Atypical Squamous Cells (ASC), HPV DNA, High Risk will be performed at an additional charge (CPT code(s): 87624).

If the Pap is Normal and the HPV DNA, High Risk is Detected, then HPV Genotypes 16 and 18, will be performed at an additional charge (CPT code(s): 87625).

Preferred Specimen

Pap sample collected in 1 SurePath™ pap vial

Minimum Volume

1 SurePath pap vial

Instructions

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

Transport Temperature

Room temperature

Specimen Stability

SurePath Pap
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable

SurePath HPV DNA - SurePath Preservative Fluid
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable

Refer to local service area for specimen retention

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

SurePath vials without the head of the collection device(s) in the fluid • SurePath vials received frozen • Swabs • Cervical swabs in Digene® HC cervical sampler • Digene® vials • Vaginal sources

Methodology
Liquid Based-density Gradient Sedimentation • Real-Time Polymerase Chain Reaction

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. Gynecologic cytology is a screening test which is subject to both false positive and false negative results. For that reason, the test is most reliable when a satisfactory sample is obtained on a regular repetitive basis. Hence, these results must be interpreted in the context of historic and current information.

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

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.