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SUREPATH-FPGS W/RFL HPV
BD FocalPoint® Paps that are flagged as "No Further Review" will be coded as CPT Code(s): 88174. In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath® Pap tests that require manual screening and all ThinPrep® Imaging System tests will be coded as CPT Code(s): 88175. Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124). HPV will be performed at an additional charge (CPT Code(s): 87621).
Specimen Type Refer to Special Handling Instructions
Specimen State Room temperature
PAP sample collected with a cytobroom. Cytobroom tip
submitted in a SurePath(TM) vial. Alcohol based solution
that serves as preservative and transport media for
Gynecological sample collected with cytobroom in routine
manner and broom tip deposited in SurePath(TM) vial.
Pap - 28 days from date of collection
HPV - 14 days from the date ordered in RLS
Pap - 6 months
HPV - 14 days from the date ordered in RLS
SPECIAL NOTE REGARDING HPV TESTING:
1. HPV can only be performed on the SurePath PELLET specimen
if the specimen is not older than 14 days from the date
ordered in RLS.
2. Add-on HPV tests: HPV can only be performed on the
SurePath PELLET specimen if the specimen is not older
than 10 days from the date ordered in RLS.
Unlabeled vial; leakage of fluid during transport; mismatch
between name of patient on vial and name on test
requisition; SurePath (blue) vials without the head of the
collection device(s) in the fluid.
Refer to handling instructions
Liquid Based-density Gradient Sedimentation
18811X SUREPATH-FPGS W/RFL HPV (CYTOLOGY)
CONSTITUENTS [LOINC] UNITS SEX/HI AGE NORMALS
==================== ===== ========== =======
Z3455  RESULTS
Z3456  FINAL STATUS (NEVER REPORT)
Z3457  CPT CODE (NEVER REPORT)
Z4776  REPORT STATUS:
Z4777  CLINICAL INFORMATION:
Z4779  LMP:
Z4800  PREV. PAP:
Z4849  PREV. BX:
Z4850  NUMBER OF SLIDES:
Z4853  SOURCE:
Z4860  STATEMENT OF ADEQUACY:
Z4861  GENERAL CATEGORIZATION:
Z4868  INTERPRETATION/RESULT:
Z4869  INFECTION:
Z4908  COMMENT:
Z5360  CYTOTECHNOLOGIST:
Z5375  REVIEW CYTOTECHNOLOGIST:
Z5867  PATHOLOGIST:
Liquid based Pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by the Bethesda System for Reporting Results of Cervical Cytology. Pap screening is not reliable for the detection of endometrial cancer.
The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.NOTE: The codes listed in the table below are not orderable Test Codes.
|Result Name||LOINC Code||Component Name|
|Z4776||REPORT STATUS:||8251-1||Service comment|
|Z4777||CLINICAL INFORMATION:||55752-0||Clinical information|
|Z4779||LMP:||8665-2||Date last menstrual period|
|Z4800||PREV. PAP:||60432-2||Date of previous PAP smear|
|Z4849||PREV. BX:||60431-4||Date of previous biopsy|
|Z4850||NUMBER OF SLIDES:||42186-7||Number of specimens received|
|Z4860||STATEMENT OF ADEQUACY:||19764-0||Statement of adequacy|
|Z4861||GENERAL CATEGORIZATION:||19762-4||General categories|
|Z4908||COMMENT:||19774-9||Cytology study comment|
Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.
The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.
LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.
* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.