SurePath™ Pap with Reflex HPV mRNA E6/E7,C. trachomatis and N. gonorrhoeae

Test Code

17258

CPT Codes
87491, 87591, 88142<br><strong>This test is not available for California patient testing.</strong>

Includes

SurePath™ Pap with Reflex to HPV mRNA E6/E7
Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital

If SurePath™ Pap result is ASCUS, then HPV mRNA E6/E7 will be performed at an additional charge (CPT code(s): 87624).

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 mRNA E6/E7, will be performed at an additional charge (CPT code(s): 87624).

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 Container

1 SurePath pap vial

Transport Temperature

Room temperature

Specimen Stability

SurePath Pap - SurePath Pap Vial
Room temperature: 28 days
Refrigerated: 6 months
Frozen: Unacceptable

SurePath HPV - SurePath Pap Vial
Room temperature: 7 days
Refrigerated: 7 days
Frozen: Unacceptable

SurePath HPV - SurePath Preservative Fluid in Aptima Transfer Tube
Room temperature: 7 days
Refrigerated: 7 days
Frozen: Unacceptable

SurePath CT/NG - SurePath Pap Vial
Room temperature: 4 days
Refrigerated: Unacceptable
Frozen: Unacceptable

SurePath CT/NG - SurePath Preservative Fluid in Aptima Transfer Tube
Room temperature: 14 days
Refrigerated: 14 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

Methodology
Liquid Based-density Gradient Sedimentation • Transcription-Mediated Amplification (TMA)

Setup Schedule

Set up: Mon-Sat; Report available: 10 days

Reference Range

See Laboratory Report

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.