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Age-Based Screening for Routine Visits

Quest offers the right test for the right patient at the right time

 

We’ve built our screening menu to correspond with age-based guidelines and recommendations from leading women’s health organizations. Our goal is to ensure your patients get the appropriate screening needed at every well-woman visit at every age.
healthcare professional on tablet

Please select an age bracket to view the corresponding test menu:

Opt-in to opt-out CT/NG screening

Protect your adolescent and young adult female patients’ fertility from the long-term effects of chlamydia and gonorrhea. Commit to opt-out, an enhanced screening strategy that the CDC recommends providers consider for all female patients ages 15-24.

Recommended Laboratory Screening Corresponding Quest Test Test code(s)
Annual chlamydia and gonorrhea testing (under 25 and if sexually active and for older women who are at increased risk for infectiona) Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital 11363

Cervical Cancer Screening recommended to start at age 21:

1. In women 21–65 years of age:
 Cervical cytology (Pap) alone every 3 years (Reflex to HPV if Pap is ASC-US) 


2. In women 30–65 years of age:
 Co-testing with Pap and HPV together every 5 years (preferred), or Pap alone every 3 years (Reflex to HPV if Pap is ASC-US)

Image-Guided Pap with Age-Based Screening Protocolse 91384
Image-Guided Pap with Age-Based Screening with CT/NGe 91385
Image-Guided Pap with Age-Based Screening with CT/NG, Trichomonase 91386
Pap alonee See note below
Human immunodeficiency virus (HIV) testingb HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexesc 91431
Screening for trichomonas when risk factors are identifiedd SureSwab®, Trichomonas vaginalis RNA, Qualitative, TMA 19550

Co-testing for cervical cancer with Pap and HPV together is best

A recent Quest Diagnostics Health Trends unprecedented 8-year data analysis of 13.6 million women between the ages of 30 and 65 across the US confirmed that more cases of cervical cancer were identified with co-testing than with HPV or Pap testing alone.

Learn more

Hereditary cancer screening

For patients with a family or personal history of breast or ovarian cancer, Ashkenazi Jewish ancestry, or other potential heritable conditions, genetic testing can provide valuable information to help inform the best treatment decisions. Our hereditary cancer screening is performed on a next-generation sequencing platform in conjunction with our proprietary software to allow for the most accurate identification of disease.

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Recommended Laboratory Screening Corresponding Quest Test Test code(s)
Annual mammography N/A N/A
Diabetes testing every 3 years after age 45 Glucose 483
Hemoglobin A1c 496
Cardio IQ® Diabetes Risk Panel with Scoref 92026
Diabetes Rick Panel with Score 92027
Cardio IQ® Insulin Resistance Panel with Score 36509

Cervical Cancer Screening

Co-testing with Pap and HPV together every 5 years (preferred)
or
Pap alone every 3 years (Reflex to HPV if Pap is ASC-US)

Image-Guided Pap with Age-Based Screening Protocolse 91384
Image-Guided Pap with Age-Based Screening with CT/NGe 91385
Image-Guided Pap with Age-Based Screening with CT/NG, Trichomonasee 91386
Pap alonee See note below
Lipid profile assessment every 5 years beginning at age 45 Lipid Panel, Standard 7600
Cardio IQ® ASCVD Risk Panel with Scoref 92052
ASCVD Risk Panel with Score 92053
Advanced Lipid Panel with Inflammation, Cardio IQ® 94220
Thyroid-stimulating hormone testing every 5 years beginning at age 50 TSH 899
TSH with Reflex to Free T4 36127
Thyroid Panel with TSH 7444
Colorectal cancer screening with colonoscopy every 10 years beginning at age 50 or at age 45 for African-American women (preferred); fecal immunochemical test (FIT) annually starting at age 50 as an alternative to colonoscopy Fecal Globin by Immunochemistry (InSure®) 11290
Human immunodeficiency virus (HIV) testingb HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexesc 91431
One-time hepatitis C testing for persons born from 1945 through 1965 and unaware of their infection status (more often for high-risk patients) Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR 8472
Screening for chlamydia, gonorrhea, and trichomonas (when risk factors are identifiedd) Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital 11363
SureSwab®Trichomonas vaginalis RNA, Qualitative, TMA 19550

We focus on accuracy, so you can be confident in screening

Quest evaluates more Pap tests than any other lab, while still maintaining the highest of quality standards. We help ensure reliable results through an extensive algorithm of laboratory accuracy checks, and our quality control process meets or exceeds all state and federal requirements.

a Positive results may need to be reported to the authorities under applicable law. Additional assessments and recommendations may be necessary for patients with certain risk factors. For more information, visit acog.org and search for Well-Woman Recommendations.

b Healthcare providers should always follow state HIV screening requirements. For more information, visit www.cdc.gov and search for the September 22, 2006 issue of MMWR™ Recommendations and Reports.

c Reflex testing may be performed at an additional charge.

d The top risk factors are inconsistent use of condoms, multiple sex partners, and previous STI infection.

e The age-based (Smart Codes) offerings are based on ACOG recommendations and include image-guided Pap tests. The ACOG guidelines do not specify a particular type of Pap test. Both imaged and non-imaged Pap tests are acceptable under the guidelines. Non-imaged Paps, conventional Paps, as well as additional testing recommended by the guidelines, may be ordered individually and are available at Quest Diagnostics. Test codes may vary by location. Please contact your local laboratory or go to QuestDiagnostics.com/TestDirectory for more information.

f To learn more about our Cardio IQ testing, visit QuestDiagnostics.com/CardioIQ.

 

Test codes may vary by location. Please contact your local laboratory for more information.


​References:

  1. Women’s Preventive Services Initiative. Recommendations for well-woman care - a well-woman chart. Updated April 2020. Accessed December 14, 2020. https://www.womenspreventivehealth.org/wellwomanchart/
  2. American Academy of Family Physicians. Summary of recommendations for clinical preventive services. Published July 2017. Accessed December 14, 2020. https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/cps-recommendations.pdf
  3. US Preventive Services Task Force. Final recommendation statement: chlamydia and gonorrhea: screening. Published September 22, 2014. Accessed December 14, 2020. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/chlamydia-and-gonorrhea-screening
  4. CDC. 2015 Sexually Transmitted Diseases Treatment Guidelines. Reviewed: June 4, 2015. Accessed December 14, 2020. https://www.cdc.gov/std/tg2015/default.htm
  5. The American College of Obstetricians and Gynecologists. Chlamydia, gonorrhea, and syphilis. Updated February 2019. Accessed December 14, 2020. https://www.acog.org/womens-health/faqs/chlamydia-gonorrhea-and-syphilis

Co-testing makes a difference when it comes to detecting cervical cancer

Review the latest data from our new 2020 Health Trends study.

Click to learn more

COVID-19 resource center

Stay up-to-date on the latest COVID-19-related guidelines published by key women’s health organizations.

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Assessing high-risk patients

With rates of sexually transmitted infections (STIs) on the rise, assessing women who may be high-risk is more important than ever.

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Contact us

Contact us to receive additional information on our lab tests, services, and coverage

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