Gynecologic Pap Test, Liquid-based Preparation With Maturation Index

TEST: 192096
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CPT: 88142; 88155
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Synonyms

  • Maturation Index With Pap Test

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.)

Expected 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.

Related Information

Related Documents

Specimen Requirements

Specimen

ThinPrep® vial or SurePath™ vial

Minimum Volume

Entire vial

Collection

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

Test Details

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.

Methodology

ThinPrep® Pap test system; TriPath SurePath® Pap test

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: N/A
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

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