Anal (Rectal) Cytology, Liquid-based Preparation

TEST: 009160
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CPT: 88112
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Synonyms

  • Anal Pap (LBP)

Expected Turnaround Time

Within 1 day

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.

Specimen Requirements

Specimen

Rectal

Volume

Minimum of 1-2 mL

Container

Vial with PreservCyt® solution, ThinPrep® vial; vial with CytoRich™ fixative, SurePath™ vial

Collection

An anal-rectal cytology (ARC) specimen is collected using a swab (Fisher Scientific Catalog No. 22363173; LabCorp PeopleSoft No. 123926). Moisten the swab in tap water and insert as far as possible into the anal canal. Slowly rotate the swab in one direction with gentle pressure on the walls as the swab is slowly being withdrawn. Care should be taken to ensure that the transition zone is sampled. Vigorously rotate the swab in the PreservCyt® solution 10 times while pushing against the wall of the ThinPrep® vial. Swirl the swab vigorously to release additional material. Discard the swab. Tighten the cap on the ThinPrep® PreservCyt® solution container so that the torque line on the cap passes the torque line on the vial. When using the TriPath SurePath™ method, place the cytobrush or swab head into the CytoRich™ fixative into SurePath™ collection vial and tightly cap 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. Specify source of specimen on the test request form.

Storage Instructions

Maintain specimen at room temperature.

Patient Preparation

No special preparation is needed for the patient, though the patient may be advised to refrain from receptive anal intercourse or use of intra-anal preparations before examination. The sample can be collected with the patient in either the lateral recumbent or dorsal lithotomy position.

Causes for Rejection

Improper labeling; 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

Use

Diagnose primary and metastatic malignant neoplasms; differential diagnosis of benign versus malignant processes.

Methodology

ThinPrep® vial; BD SurePath™

References

Chin-Hong PV, Palefsky JM. Natural history and clinical management of anal human papillomavirus disease in men and women infected with human immunodeficiency virus. Clin Infect Dis. 2002 Nov 1; 35(9):1127-1134. 12384848
Harragh T, Winkler B. The ABCs of anal-rectal cytology. CAP Today. 2004; 18(5):42-50.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
009160 Anal(Rectal) Cytology, LBP 47526-9 191115 Specimen type: 22633-2
009160 Anal(Rectal) Cytology, LBP 47526-9 191152 Source: 22633-2
009160 Anal(Rectal) Cytology, LBP 47526-9 191160 Clinician provided ICD9: 52797-8
009160 Anal(Rectal) Cytology, LBP 47526-9 191174 Clinician provided ICD10: 52797-8
009160 Anal(Rectal) Cytology, LBP 47526-9 191118 DIAGNOSIS: 47526-9
009160 Anal(Rectal) Cytology, LBP 47526-9 191165 Recommendation: 22638-1
009160 Anal(Rectal) Cytology, LBP 47526-9 191140 Comment: 22638-1
009160 Anal(Rectal) Cytology, LBP 47526-9 191157 Pathologist provided ICD9: 52797-8
009160 Anal(Rectal) Cytology, LBP 47526-9 191175 Pathologist provided ICD10: 52797-8
009160 Anal(Rectal) Cytology, LBP 47526-9 191117 Clinical history: 22636-5
009160 Anal(Rectal) Cytology, LBP 47526-9 191126 Amended report: N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 191127 Addendum: 22639-9
009160 Anal(Rectal) Cytology, LBP 47526-9 191147 Diagnosis provided by: N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 191119 Signed out by: 19139-5
009160 Anal(Rectal) Cytology, LBP 47526-9 191120 Performed by: N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 191116 Gross description: 22634-0
009160 Anal(Rectal) Cytology, LBP 47526-9 191156 Microscopic description: 22635-7
009160 Anal(Rectal) Cytology, LBP 47526-9 191141 Special procedure: N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 191179 Previous history: N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 191144 QA comment: N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 019018 . 11546-9
009160 Anal(Rectal) Cytology, LBP 47526-9 000000 Anal Pap CPT Code Automation N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 019065 PDF N/A
009160 Anal(Rectal) Cytology, LBP 47526-9 191167 Photomicrograph N/A

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