Test Details
Methodology
Image-guided liquid-based Pap test; nucleic acid amplification (NAA)
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.
Use
Diagnose primary or metastatic neoplasm; detect Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis
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 smears 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.)
If ThinPrep® vials are QNS for the hybrid capture assay, then a test requiring a lower input volume will be automatically performed if there is sufficient volume to perform that assay.
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.
Testing for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis requires special procedures to be used in the processing of the cytology specimens; therefore, testing for these organisms cannot be added on after the specimen has been submitted. The liquid-based cytology specimen must be processed for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis testing. Any time a transport device used for molecular testing is processed, the chance of cross specimen contamination increases. Aptima® transports can be placed directly on the analyzer, limiting the possibility of cross specimen contamination.
References
Specimen Requirements
Specimen
Cervical cells collected by one of the methods described below.
Volume
ThinPrep® vial or ThinPrep® vial with optional additional Aptima® swab collection kit (for Chlamydia/Gonococcus/Trichomonas)
Minimum Volume
A minimum volume cannot be determined for the ThinPrep® vial because it varies depending on the cellularity of the specimen. Specimens collected with the Gen-Probe® Aptima® swab collection kit must arrive intact.
Container
ThinPrep® vial or ThinPrep® vial and Aptima® swab collection kit (for Chlamydia/Gonococcus/Trichomonas)
Collection Instructions
ThinPrep® Vial − Broom or Brush/Spatula
Broom-like collection technique: Obtain a sample from the cervix using a broom-like device by inserting the brush portion into the cervical os and rotate the brush five times. Rinse the collection device in the PreservCyt® solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. As a final step, twirl the brush between the thumb and forefinger vigorously to release additional cellular material. Discard the collection device. Tighten the cap on the ThinPrep® vial so that the torque line on the cap passes the torque line on the vial.
Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. Slowly rotate the brush ¼ to ½ 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 vigorously in the ThinPrep® vial 10 times and discard the spatula. Tighten the cap on the ThinPrep® container so that the torque line on the cap passes the torque line on the vial.
Optional Dedicated Specimen for Chlamydia, Gonococcus, and Trichomonas: Use the Gen-Probe® Aptima® swab collection kit. (Note: Do not use the Gen-Probe® PACE DNA probe collection kit.) Clean the cervix using the larger, white-shafted swab supplied in the Gen-Probe® Aptima® swab collection kit and discard. Insert the smaller, blue-shafted swab into the cervix and rotate for 10 to 30 seconds to ensure good sampling. Carefully withdraw the blue-shafted swab, avoiding contact with the vaginal mucosa. Remove the cap from the swab specimen transport tube and immediately place the specimen collection swab into the transport tube. Break the swab shaft at the scoreline, using care to avoid splashing contents. Recap the swab specimen transport tube tightly.
Storage Instructions
Maintain liquid-based cytology and Aptima® swab transport specimens at room temperature. Pap processing must be performed within 21 days of collection. Liquid-based cytology specimens must be tested within seven days for Chlamydia/Gonococcus/Trichomonas; if the Aptima® swab transport is used it must be tested within 60 days.
Patient Preparation
Patient should avoid douches 48 to 72 hours prior to examination. Specimen should not be collected during or shortly after menstrual period.
Causes for Rejection
Improper collection; inadequate specimen; improper labeling; specimen leaked in transit; quantity not sufficient for analysis; name discrepancies; specimens submitted on male patient; specimen submitted in a vial that expired according to manufacturer's label; frozen specimen; SurePath™ vial. For Pap: liquid-based cytology specimen more than 21 days old. For Chlamydia, Gonococcus, and Trichomonas vaginalis: liquid-based cytology specimen more than seven days old, Aptima® specimen more than 60 days old; Gen-Probe® Aptima® collection tube with multiple swabs, white-shafted cleaning swab, or any swab other than the blue-shafted collection swab.
LOINC® Map
Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
---|---|---|---|---|---|---|
196502 | Pap IG, Ct-Ng TV | 191121 | Test ordered: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191108 | DIAGNOSIS: | 47528-5 | ||
196502 | Pap IG, Ct-Ng TV | 191166 | Interpretation | 19764-0 | ||
196502 | Pap IG, Ct-Ng TV | 191170 | Category: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191173 | Recommendation: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191169 | Infection: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191172 | Adequacy: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191111 | Recommendation: | 19773-1 | ||
196502 | Pap IG, Ct-Ng TV | 191109 | Specimen adequacy: | 19764-0 | ||
196502 | Pap IG, Ct-Ng TV | 191154 | Source: | 19763-2 | ||
196502 | Pap IG, Ct-Ng TV | 191160 | Clinician provided ICD9: | 52797-8 | ||
196502 | Pap IG, Ct-Ng TV | 191174 | Clinician provided ICD10: | 52797-8 | ||
196502 | Pap IG, Ct-Ng TV | 191107 | Clinical history: | 22636-5 | ||
196502 | Pap IG, Ct-Ng TV | 191124 | Amended report: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191110 | Additional comment: | 22638-1 | ||
196502 | Pap IG, Ct-Ng TV | 191125 | Addendum: | 22639-9 | ||
196502 | Pap IG, Ct-Ng TV | 191123 | Maturation index: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191112 | Performed by: | 19767-3 | ||
196502 | Pap IG, Ct-Ng TV | 191128 | QC reviewed by: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191145 | Diagnosis provided by: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191113 | Electronically signed by: | 19769-9 | ||
196502 | Pap IG, Ct-Ng TV | 191139 | Special procedure: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191129 | Cytology history: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191179 | Previous history: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 191144 | QA comment: | N/A | ||
196502 | Pap IG, Ct-Ng TV | 019018 | . | 11546-9 | ||
196502 | Pap IG, Ct-Ng TV | 191157 | Pathologist provided ICD9: | 52797-8 | ||
196502 | Pap IG, Ct-Ng TV | 191175 | Pathologist provided ICD10: | 52797-8 | ||
196502 | Pap IG, Ct-Ng TV | 190120 | . | N/A | ||
196502 | Pap IG, Ct-Ng TV | 190109 | Note: | 8251-1 | ||
196502 | Pap IG, Ct-Ng TV | 000000 | Test Methodology: | 47527-7 | ||
196502 | Pap IG, Ct-Ng TV | 186134 | Chlamydia, Nuc. Acid Amp | 50387-0 | ||
196502 | Pap IG, Ct-Ng TV | 186135 | Gonococcus, Nuc. Acid Amp | 50388-8 | ||
196502 | Pap IG, Ct-Ng TV | 188092 | Trich vag by NAA | 46154-1 | ||
196502 | Pap IG, Ct-Ng TV | 019054 | 11502-2 | |||
196502 | Pap IG, Ct-Ng TV | 191167 | Photomicrograph | N/A | ||
196502 | Pap IG, Ct-Ng TV | 019030 | . | N/A | ||
196502 | Pap IG, Ct-Ng TV | 019031 | Patient Counseling Report | N/A | ||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191121 | |||||
Result Code Name | Test ordered: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191108 | |||||
Result Code Name | DIAGNOSIS: | |||||
UofM | ||||||
Result LOINC | 47528-5 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191166 | |||||
Result Code Name | Interpretation | |||||
UofM | ||||||
Result LOINC | 19764-0 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191170 | |||||
Result Code Name | Category: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191173 | |||||
Result Code Name | Recommendation: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191169 | |||||
Result Code Name | Infection: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191172 | |||||
Result Code Name | Adequacy: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191111 | |||||
Result Code Name | Recommendation: | |||||
UofM | ||||||
Result LOINC | 19773-1 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191109 | |||||
Result Code Name | Specimen adequacy: | |||||
UofM | ||||||
Result LOINC | 19764-0 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191154 | |||||
Result Code Name | Source: | |||||
UofM | ||||||
Result LOINC | 19763-2 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191160 | |||||
Result Code Name | Clinician provided ICD9: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191174 | |||||
Result Code Name | Clinician provided ICD10: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191107 | |||||
Result Code Name | Clinical history: | |||||
UofM | ||||||
Result LOINC | 22636-5 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191124 | |||||
Result Code Name | Amended report: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191110 | |||||
Result Code Name | Additional comment: | |||||
UofM | ||||||
Result LOINC | 22638-1 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191125 | |||||
Result Code Name | Addendum: | |||||
UofM | ||||||
Result LOINC | 22639-9 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191123 | |||||
Result Code Name | Maturation index: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191112 | |||||
Result Code Name | Performed by: | |||||
UofM | ||||||
Result LOINC | 19767-3 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191128 | |||||
Result Code Name | QC reviewed by: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191145 | |||||
Result Code Name | Diagnosis provided by: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191113 | |||||
Result Code Name | Electronically signed by: | |||||
UofM | ||||||
Result LOINC | 19769-9 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191139 | |||||
Result Code Name | Special procedure: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191129 | |||||
Result Code Name | Cytology history: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191179 | |||||
Result Code Name | Previous history: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191144 | |||||
Result Code Name | QA comment: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 019018 | |||||
Result Code Name | . | |||||
UofM | ||||||
Result LOINC | 11546-9 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191157 | |||||
Result Code Name | Pathologist provided ICD9: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191175 | |||||
Result Code Name | Pathologist provided ICD10: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 190120 | |||||
Result Code Name | . | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 190109 | |||||
Result Code Name | Note: | |||||
UofM | ||||||
Result LOINC | 8251-1 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 000000 | |||||
Result Code Name | Test Methodology: | |||||
UofM | ||||||
Result LOINC | 47527-7 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 186134 | |||||
Result Code Name | Chlamydia, Nuc. Acid Amp | |||||
UofM | ||||||
Result LOINC | 50387-0 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 186135 | |||||
Result Code Name | Gonococcus, Nuc. Acid Amp | |||||
UofM | ||||||
Result LOINC | 50388-8 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 188092 | |||||
Result Code Name | Trich vag by NAA | |||||
UofM | ||||||
Result LOINC | 46154-1 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 019054 | |||||
Result Code Name | ||||||
UofM | ||||||
Result LOINC | 11502-2 | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 191167 | |||||
Result Code Name | Photomicrograph | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 019030 | |||||
Result Code Name | . | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 196502 | |||||
Order Code Name | Pap IG, Ct-Ng TV | |||||
Order Loinc | ||||||
Result Code | 019031 | |||||
Result Code Name | Patient Counseling Report | |||||
UofM | ||||||
Result LOINC | N/A |
Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
---|---|---|---|---|---|---|
Reflex 1 | 192555 | Change IG Pap to LB Pap | 000000 | LBP CPT Code Automation | 47527-7 | |
Reflex 1 | ||||||
Order Code | 192555 | |||||
Order Name | Change IG Pap to LB Pap | |||||
Result Code | 000000 | |||||
Result Name | LBP CPT Code Automation | |||||
UofM | ||||||
Result LOINC | 47527-7 |