Test Details
Methodology
ThinPrep® Pap test system; TriPath SurePath® Pap test
Result Turnaround Time
3 - 6 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Special Instructions
Include date of birth, Social Security number (or other identification number), previous malignancy, drug therapy, radiation therapy, last menstrual period (LMP), postmenopausal patient (PMP), surgery (including surgical biopsies), exogenous hormones, abnormal vaginal bleeding, abnormal Pap results, IUD, and all other pertinent clinical information on the cytology test request form.
Note: In accordance with criteria established by CLIA, Pap tests will be referred for pathologist review if laboratory personnel suspect:
• Reactive or reparative cellular changes
• Atypical squamous or glandular cells of undetermined significance
• Cells in the premalignant or malignant category
In these cases, LabCorp will charge for the associated service. (Slides that are routinely reviewed by a pathologist for quality control purposes are not included.)
Limitations
Failure to obtain a vaginal cell population renders the specimen unsatisfactory for evaluation. Excessive use of lubricating jelly on the vaginal speculum will interfere with cytologic examination.
Specimen Requirements
Specimen
ThinPrep® vial or SurePath™ vial
Minimum Volume
Entire vial
Collection Instructions
Use the cervix brush to obtain cells from the upper third of the lateral vaginal wall. Then, rotate the brush in the PreservCyt® solution 10 times while pushing against the wall of the vial. Swirl the brush vigorously to release additional material. Discard the brush. Tighten the cap on the PreservCyt® solution container so that the torque line on the cap passes the torque line on the vial. Record the patient's name and ID number on the vial and place it and the test request form in a specimen bag for transport to the laboratory.
When doing the TriPath SurePath™ method, the cervix brush (broom) must be used before being placed in the CytoRich™ preservative fluid collection vial. Also, the cervix brush and Wallach brush may be used in obtaining a ThinPrep® specimen but the brush is rinsed vigorously in the vial and discarded; the brush head is not placed in the ThinPrep® PreservCyt® vial.
Storage Instructions
Maintain specimen at room temperature. Specimens must be processed for testing within 21 days of collection.
Patient Preparation
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 on the vaginal speculum will interfere with cytologic examination.
Causes for Rejection
Improperly labeled vial; specimen more than 21 days old (from collection date) in liquid-based preservative; specimen submitted in vial that expired according to manufacturer's label; frozen specimen
LOINC® Map
Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
---|---|---|---|---|---|---|
192096 | Pap Lb, w Mat Indx | 191121 | Test ordered: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191108 | DIAGNOSIS: | 47528-5 | ||
192096 | Pap Lb, w Mat Indx | 191166 | Interpretation | 19764-0 | ||
192096 | Pap Lb, w Mat Indx | 191170 | Category: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191173 | Recommendation: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191169 | Infection: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191172 | Adequacy: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191111 | Recommendation: | 19773-1 | ||
192096 | Pap Lb, w Mat Indx | 191109 | Specimen adequacy: | 19764-0 | ||
192096 | Pap Lb, w Mat Indx | 191154 | Source: | 19763-2 | ||
192096 | Pap Lb, w Mat Indx | 191160 | Clinician provided ICD9: | 52797-8 | ||
192096 | Pap Lb, w Mat Indx | 191174 | Clinician provided ICD10: | 52797-8 | ||
192096 | Pap Lb, w Mat Indx | 191107 | Clinical history: | 22636-5 | ||
192096 | Pap Lb, w Mat Indx | 191124 | Amended report: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191110 | Additional comment: | 22638-1 | ||
192096 | Pap Lb, w Mat Indx | 191125 | Addendum: | 22639-9 | ||
192096 | Pap Lb, w Mat Indx | 191123 | Maturation index: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191112 | Performed by: | 19767-3 | ||
192096 | Pap Lb, w Mat Indx | 191128 | QC reviewed by: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191145 | Diagnosis provided by: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191113 | Electronically signed by: | 19769-9 | ||
192096 | Pap Lb, w Mat Indx | 191139 | Special procedure: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191129 | Cytology history: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191179 | Previous history: | N/A | ||
192096 | Pap Lb, w Mat Indx | 191144 | QA comment: | N/A | ||
192096 | Pap Lb, w Mat Indx | 019026 | . | 19765-7 | ||
192096 | Pap Lb, w Mat Indx | 191157 | Pathologist provided ICD9: | 52797-8 | ||
192096 | Pap Lb, w Mat Indx | 191175 | Pathologist provided ICD10: | 52797-8 | ||
192096 | Pap Lb, w Mat Indx | 190109 | Note: | 8251-1 | ||
192096 | Pap Lb, w Mat Indx | 000000 | LBP CPT Code Automation | 47527-7 | ||
192096 | Pap Lb, w Mat Indx | 000000 | Maturation Index CPT Code Auto | N/A | ||
192096 | Pap Lb, w Mat Indx | 191167 | Photomicrograph | N/A | ||
192096 | Pap Lb, w Mat Indx | 019030 | . | N/A | ||
192096 | Pap Lb, w Mat Indx | 019031 | Patient Counseling Report | N/A | ||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191121 | |||||
Result Code Name | Test ordered: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191108 | |||||
Result Code Name | DIAGNOSIS: | |||||
UofM | ||||||
Result LOINC | 47528-5 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191166 | |||||
Result Code Name | Interpretation | |||||
UofM | ||||||
Result LOINC | 19764-0 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191170 | |||||
Result Code Name | Category: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191173 | |||||
Result Code Name | Recommendation: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191169 | |||||
Result Code Name | Infection: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191172 | |||||
Result Code Name | Adequacy: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191111 | |||||
Result Code Name | Recommendation: | |||||
UofM | ||||||
Result LOINC | 19773-1 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191109 | |||||
Result Code Name | Specimen adequacy: | |||||
UofM | ||||||
Result LOINC | 19764-0 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191154 | |||||
Result Code Name | Source: | |||||
UofM | ||||||
Result LOINC | 19763-2 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191160 | |||||
Result Code Name | Clinician provided ICD9: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191174 | |||||
Result Code Name | Clinician provided ICD10: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191107 | |||||
Result Code Name | Clinical history: | |||||
UofM | ||||||
Result LOINC | 22636-5 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191124 | |||||
Result Code Name | Amended report: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191110 | |||||
Result Code Name | Additional comment: | |||||
UofM | ||||||
Result LOINC | 22638-1 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191125 | |||||
Result Code Name | Addendum: | |||||
UofM | ||||||
Result LOINC | 22639-9 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191123 | |||||
Result Code Name | Maturation index: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191112 | |||||
Result Code Name | Performed by: | |||||
UofM | ||||||
Result LOINC | 19767-3 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191128 | |||||
Result Code Name | QC reviewed by: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191145 | |||||
Result Code Name | Diagnosis provided by: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191113 | |||||
Result Code Name | Electronically signed by: | |||||
UofM | ||||||
Result LOINC | 19769-9 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191139 | |||||
Result Code Name | Special procedure: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191129 | |||||
Result Code Name | Cytology history: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191179 | |||||
Result Code Name | Previous history: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191144 | |||||
Result Code Name | QA comment: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 019026 | |||||
Result Code Name | . | |||||
UofM | ||||||
Result LOINC | 19765-7 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191157 | |||||
Result Code Name | Pathologist provided ICD9: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191175 | |||||
Result Code Name | Pathologist provided ICD10: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 190109 | |||||
Result Code Name | Note: | |||||
UofM | ||||||
Result LOINC | 8251-1 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 000000 | |||||
Result Code Name | LBP CPT Code Automation | |||||
UofM | ||||||
Result LOINC | 47527-7 | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 000000 | |||||
Result Code Name | Maturation Index CPT Code Auto | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 191167 | |||||
Result Code Name | Photomicrograph | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 019030 | |||||
Result Code Name | . | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 192096 | |||||
Order Code Name | Pap Lb, w Mat Indx | |||||
Order Loinc | ||||||
Result Code | 019031 | |||||
Result Code Name | Patient Counseling Report | |||||
UofM | ||||||
Result LOINC | N/A |