SurePath™ Imaging Pap (REFL) HPV mRNA E6/E7 reflex HPV 16,18/45

Test Code

91111

CPT Code(s)

88175 (HCPCS: G0145) , 87624

Test Code

91111

CPT Code(s)

88175 (HCPCS: G0145) , 87624

This test is not available in all locations. Please provide SERVICE AREA INFORMATION to confirm Test Code for the lab that services your account or to find available tests you can order.

In-home collection is not available in your area through Quest Mobile.

Clinical Significance

SurePath™ Imaging Pap (REFL) HPV mRNA E6/E7 reflex HPV 16,18/45 - 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.

Test Resources

None found for this test
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Test Details

Includes

This is a client specific reflex that will reflex HPV mRNA E6/E7, SurePath™ Vial reflex HPV 16,18/4 at an additional charge (CPT code(s): 87624, 87625) at the discretion of the ordering physician.
Pap results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141; HCPCS: G0124).
For interpretations of Atypical Squamous Cells (ASC), HPV mRNA E6/E7 will be performed at an additional charge (CPT code(s): 87624).

Methodology

Liquid Based-density Gradient Sedimentation

Reference Range(s)

See Laboratory Report

LOINC® Codes, Performing Laboratory

Service Area must be determined

Includes

This is a client specific reflex that will reflex HPV mRNA E6/E7, SurePath™ Vial reflex HPV 16,18/4 at an additional charge (CPT code(s): 87624, 87625) at the discretion of the ordering physician.

Pap results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141; HCPCS: G0124).
For interpretations of Atypical Squamous Cells (ASC), HPV mRNA E6/E7 will be performed at an additional charge (CPT code(s): 87624).

Methodology

Liquid Based-density Gradient Sedimentation

Reference Range(s)

See Laboratory Report

LOINC® Codes, Performing Laboratory

Service Area must be determined

Preferred Specimen(s)

Pap sample collected with a cytobroom or cytobrush and spatula. Cytobroom tip submitted in a SurePath™ vial. Alcohol based solution that serves as preservative and transport media for gynecological samples.

Minimum Volume

1 SurePath™ vial

Transport Container

SurePath™ vial

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 7 days
Refrigerated: 7 days
Frozen: Unacceptable

Reject Criteria

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 • Expired vial

Setup Schedule

Service Area must be determined

Preferred Specimen(s)

Minimum Volume

1 SurePath™ vial

Transport Container

SurePath™ vial

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 7 days
Refrigerated: 7 days
Frozen: Unacceptable

Reject Criteria

Setup Schedule

Service Area must be determined

This test is not available in all locations. Please provide ACCOUNT INFORMATION NEEDED to confirm Test Code for the lab that services your account or to find available tests you can order.

In-home collection is not available in your area through Quest Mobile.

Test Details

Clinical Significance

Test Resources

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 guidance 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.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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