CDOS

Gynecologic Pap Test (Image-guided), Liquid-basedPreparation With Reflex to cobas(R) High-risk HPV WithHPV Genotypes 16 and 18 When ASCU

Test Code: 196225

Performing Lab: LabCorp

CPT Code: 88175 001

Test Link (Copy)

Specimen Type

Cervical cells in ThinPrep(R) vial

Specimen Container

ThinPrep(R) vial

Volume

Entire vial

Minimum Volume

A minimum volume cannot be determined for the ThinPrep(R) vial because it varies depending on the cellularity of the specimen.

Specimen Handling

BRUSH/SPATULA TECHNIQUE: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. Slowly rotate the brush 1/4 to 1/2 turn in one direction. Do NOT over-rotate the brush. Then, rotate the brush in the PreservCyt(R) solution 10 times while pushing against the wall of the ThinPrep(R) vial. Swirl the brush vigorously to release additional material. Discard the brush. Obtain an adequate sample from the ectocervix using a plastic spatula. Swirl vigorously in the ThinPrep(R) vial 10 times and discard the spatula. Tighten the cap on the ThinPrep(R) container so that the torque line on the cap passes the torque line on the vial.

Patient Prep

Patient should avoid douches 48 to 72 hours prior to examination. Specimen should not be collected during or shortly after menstrual period. Excessive use of lubricating jelly will interfere with cytologic examination.

Unacceptable Conditions

Improper collection; inadequate specimen; improper labeling; frozen specimen; specimen leaked in transit; quantity not sufficient for analysis; name discrepancies; specimen submitted on male patients; FOR PAP: liquid-based cytology specimen more than 21 days old. FOR HPV: specimen more than six months old in ThinPrep(R) vial; excessively bloody specimens.

Temperature

Maintain liquid-based cytology specimens at room temperature. Pap processing must be performed within 21 days of collection. ThinPrep(R) vial may be stored up to six months after the date of collection prior to performing the COBAS(R) HPV test. ThinPrep(R) specimens should not be frozen.

Methodology

Image-guided liquid-based Pap test; nucleic acid amplification (NAA)

Result Code	Result Name	LOINC
191121	Test ordered:	UNLOINC
191108	DIAGNOSIS:	47528-5
191166	Interpretation	19764-0
191170	Category:	UNLOINC
191173	Recommendation:	UNLOINC
191169	Infection:	UNLOINC
191172	Adequacy:	UNLOINC
191111	Recommendation:	19773-1
191109	Specimen adequacy:	19764-0
191154	Source:	19763-2
191160	Clinician provided ICD9:	52797-8
191174	Clinician provided ICD10:	52797-8
191107	Clinical history:	22636-5
191124	Amended report:	UNLOINC
191110	Additional comment:	22638-1
191125	Addendum:	22639-9
191123	Maturation index:	UNLOINC
191112	Performed by:	19767-3
191128	QC reviewed by:	UNLOINC
191145	Diagnosis provided by:	UNLOINC
191113	Electronically signed by:	19769-9
191139	Special procedure:	UNLOINC
191129	Cytology history:	UNLOINC
191179	Previous history:	UNLOINC
191144	QA comment:	UNLOINC
019018	.	11546-9
191157	Pathologist provided ICD9:	52797-8
191175	Pathologist provided ICD10:	52797-8
190120	.	UNLOINC
190109	Note:	8251-1
L19300	Test Methodology:	47527-7
190119	.	UNLOINC
190119	.	UNLOINC
190119	.	UNLOINC
190119	.	UNLOINC
019054	PDF	11502-2
191167	Photomicrograph	UNLOINC
019030	.	UNLOINC
019031	Patient Counseling Report	UNLOINC

Reflex Order Code	Reflex Order Name
192555	Change IG Pap to LB Pap
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18
507385	HPV, cobas high-risk/16/18

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