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Gynecologic Pap Test, Liquid-based Preparation

Test Number 192005
Test number copied
CPT 88142

Test Details

Methodology

ThinPrep® Pap test system; TriPath SurePath® Pap test

Result Turnaround Time

2 - 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

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 adequate ectocervical, endocervical, or vaginal cell population is suboptimal for evaluation. Excessive use of lubricating jelly on the vaginal speculum will interfere with cytologic examination and may lead to unsatisfactory Pap results.

References

Hutchinson ML, Cassin CM, Ball HG 3rd. The efficacy of an automated preparation device for cervical cytology. Am J Clin Pathol. 1991 Sep; 96(3):300-305.1877527
Hutchinson ML, Isenstein LM, Goodman A, et al. Homogeneous sampling accounts for the increased diagnostic accuracy using the ThinPrep® processor. Am J Clin Pathol. 1994 Feb; 101(2):215-219.8116578
Joseph MG, Cragg F, Wright VC, et al. Cytohistological correlates in a colposcopic clinic: A 1-year prospective study. Diagn Cytopathol. 1991; 7(5):477-481.1954825
Wilbur DC, Cibas ES, Merritt S, et al. ThinPrep® processor: Clinical trials demonstrate an increased detection rate of abnormal cervical cytologic specimens. Am J Clin Pathol. 1994 Feb; 101(2):209-214.8116577

Specimen Requirements

Specimen

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

Collection Instructions

When using the ThinPrep® method, a gynecologic specimen is collected using a brush and plastic spatula as a cervical sampling system.

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® solution 10 times while pushing against the wall of the ThinPrep® vial. Swirl the brush vigorously to release additional material. Discard the brush. Obtain an adequate sample from the ectocervix using a plastic spatula. Swirl the spatula vigorously in the PreservCyt® vial 10 times, and discard the spatula. 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, the cervix (broom) or the endocervical brush/plastic spatula combination collection device(s) must be used with the broom/brush being inserted into the cervical os and rotated five times.

Once collected, the removable head(s) of the collection device(s) is dropped into the CytoRich™ preservative fluid in the TriPath SurePath™ 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.

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.

Storage Instructions

Maintain specimen at room temperature. Specimen 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
192005 Pap Lb (Liquid-based) 47527-7 191121 Test ordered: N/A
192005 Pap Lb (Liquid-based) 47527-7 191108 DIAGNOSIS: 47528-5
192005 Pap Lb (Liquid-based) 47527-7 191166 Interpretation 19764-0
192005 Pap Lb (Liquid-based) 47527-7 191170 Category: N/A
192005 Pap Lb (Liquid-based) 47527-7 191173 Recommendation: N/A
192005 Pap Lb (Liquid-based) 47527-7 191169 Infection: N/A
192005 Pap Lb (Liquid-based) 47527-7 191172 Adequacy: N/A
192005 Pap Lb (Liquid-based) 47527-7 191111 Recommendation: 19773-1
192005 Pap Lb (Liquid-based) 47527-7 191109 Specimen adequacy: 19764-0
192005 Pap Lb (Liquid-based) 47527-7 191154 Source: 19763-2
192005 Pap Lb (Liquid-based) 47527-7 191160 Clinician provided ICD9: 52797-8
192005 Pap Lb (Liquid-based) 47527-7 191174 Clinician provided ICD10: 52797-8
192005 Pap Lb (Liquid-based) 47527-7 191107 Clinical history: 22636-5
192005 Pap Lb (Liquid-based) 47527-7 191124 Amended report: N/A
192005 Pap Lb (Liquid-based) 47527-7 191110 Additional comment: 22638-1
192005 Pap Lb (Liquid-based) 47527-7 191125 Addendum: 22639-9
192005 Pap Lb (Liquid-based) 47527-7 191123 Maturation index: N/A
192005 Pap Lb (Liquid-based) 47527-7 191112 Performed by: 19767-3
192005 Pap Lb (Liquid-based) 47527-7 191128 QC reviewed by: N/A
192005 Pap Lb (Liquid-based) 47527-7 191145 Diagnosis provided by: N/A
192005 Pap Lb (Liquid-based) 47527-7 191113 Electronically signed by: 19769-9
192005 Pap Lb (Liquid-based) 47527-7 191139 Special procedure: N/A
192005 Pap Lb (Liquid-based) 47527-7 191129 Cytology history: N/A
192005 Pap Lb (Liquid-based) 47527-7 191179 Previous history: N/A
192005 Pap Lb (Liquid-based) 47527-7 191144 QA comment: N/A
192005 Pap Lb (Liquid-based) 47527-7 019018 . 11546-9
192005 Pap Lb (Liquid-based) 47527-7 191157 Pathologist provided ICD9: 52797-8
192005 Pap Lb (Liquid-based) 47527-7 191175 Pathologist provided ICD10: 52797-8
192005 Pap Lb (Liquid-based) 47527-7 190109 Note: 8251-1
192005 Pap Lb (Liquid-based) 47527-7 000000 LBP CPT Code Automation 47527-7
192005 Pap Lb (Liquid-based) 47527-7 019054 PDF 11502-2
192005 Pap Lb (Liquid-based) 47527-7 191167 Photomicrograph N/A
192005 Pap Lb (Liquid-based) 47527-7 019030 . N/A
192005 Pap Lb (Liquid-based) 47527-7 019031 Patient Counseling Report N/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191121
Result Code NameTest ordered:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191108
Result Code NameDIAGNOSIS:
UofM
Result LOINC47528-5
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191166
Result Code NameInterpretation
UofM
Result LOINC19764-0
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191170
Result Code NameCategory:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191173
Result Code NameRecommendation:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191169
Result Code NameInfection:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191172
Result Code NameAdequacy:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191111
Result Code NameRecommendation:
UofM
Result LOINC19773-1
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191109
Result Code NameSpecimen adequacy:
UofM
Result LOINC19764-0
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191154
Result Code NameSource:
UofM
Result LOINC19763-2
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191160
Result Code NameClinician provided ICD9:
UofM
Result LOINC52797-8
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191174
Result Code NameClinician provided ICD10:
UofM
Result LOINC52797-8
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191107
Result Code NameClinical history:
UofM
Result LOINC22636-5
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191124
Result Code NameAmended report:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191110
Result Code NameAdditional comment:
UofM
Result LOINC22638-1
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191125
Result Code NameAddendum:
UofM
Result LOINC22639-9
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191123
Result Code NameMaturation index:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191112
Result Code NamePerformed by:
UofM
Result LOINC19767-3
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191128
Result Code NameQC reviewed by:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191145
Result Code NameDiagnosis provided by:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191113
Result Code NameElectronically signed by:
UofM
Result LOINC19769-9
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191139
Result Code NameSpecial procedure:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191129
Result Code NameCytology history:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191179
Result Code NamePrevious history:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191144
Result Code NameQA comment:
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code019018
Result Code Name.
UofM
Result LOINC11546-9
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191157
Result Code NamePathologist provided ICD9:
UofM
Result LOINC52797-8
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191175
Result Code NamePathologist provided ICD10:
UofM
Result LOINC52797-8
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code190109
Result Code NameNote:
UofM
Result LOINC8251-1
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code000000
Result Code NameLBP CPT Code Automation
UofM
Result LOINC47527-7
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code019054
Result Code NamePDF
UofM
Result LOINC11502-2
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code191167
Result Code NamePhotomicrograph
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code019030
Result Code Name.
UofM
Result LOINCN/A
Order Code192005
Order Code NamePap Lb (Liquid-based)
Order Loinc47527-7
Result Code019031
Result Code NamePatient Counseling Report
UofM
Result LOINCN/A