SurePath™ Pap and HPV DNA with Reflex to HPV 16,18

Test Code

92245

CPT Code(s)

88142 (HCPCS: G0123), 87624

CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.

Test Code

92245

CPT Code(s)

88142 (HCPCS: G0123), 87624

CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.

Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.

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

Clinical Significance

SurePath™ Pap and HPV DNA with Reflex to HPV 16,18 - 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. Gynecologic cytology is a screening test which is subject to both false positive and false negative results. For that reason, the test is most reliable when a satisfactory sample is obtained on a regular repetitive basis. Hence, these results must be interpreted in the context of historic and current information.

Test Resources

None found for this test
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Test Details

Includes

SurePath™ Pap
HPV DNA, High Risk with Reflex to Genotypes 16,18
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 DNA, High Risk will be performed at an additional charge (CPT code(s): 87624).
If the Pap is Normal and the HPV DNA, High Risk is Detected, then HPV Genotypes 16 and 18, will be performed at an additional charge (CPT code(s): 87625).

Methodology

Liquid Based-density Gradient Sedimentation • Real-Time Polymerase Chain Reaction

Reference Range(s)

See Laboratory Report

LOINC® Codes, Performing Laboratory

Service Area must be determined

Includes

SurePath™ Pap
HPV DNA, High Risk with Reflex to Genotypes 16,18

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 DNA, High Risk will be performed at an additional charge (CPT code(s): 87624).

If the Pap is Normal and the HPV DNA, High Risk is Detected, then HPV Genotypes 16 and 18, will be performed at an additional charge (CPT code(s): 87625).

Methodology

Liquid Based-density Gradient Sedimentation • Real-Time Polymerase Chain Reaction

Reference Range(s)

See Laboratory Report

LOINC® Codes, Performing Laboratory

Service Area must be determined

Preferred Specimen(s)

Pap sample collected in 1 SurePath™ pap vial

Minimum Volume

1 SurePath pap vial

Collection Instructions

For instructions refer to
//www.questdiagnostics.com/dms/Documents/Other/Specimen_Collection_and_Transport_Guide_2019.pdf

Transport Container

1 SurePath pap vial

Transport Temperature

Room temperature

Specimen Stability

SurePath Pap
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable

SurePath HPV DNA - SurePath Preservative Fluid
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable

Refer to local service area for specimen retention

Reject Criteria

SurePath vials without the head of the collection device(s) in the fluid • SurePath vials received frozen • Swabs • Cervical swabs in Digene® HC cervical sampler • Digene® vials • Vaginal sources

Setup Schedule

Service Area must be determined

Preferred Specimen(s)

Pap sample collected in 1 SurePath™ pap vial

Minimum Volume

1 SurePath pap vial

Collection Instructions

For instructions refer to
//www.questdiagnostics.com/dms/Documents/Other/Specimen_Collection_and_Transport_Guide_2019.pdf

Transport Container

1 SurePath pap vial

Transport Temperature

Room temperature

Specimen Stability

SurePath Pap
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable

SurePath HPV DNA - SurePath Preservative Fluid
Room temperature: 28 days
Refrigerated: 90 days
Frozen: Unacceptable

Refer to local service area for specimen retention

Reject Criteria

Setup Schedule

Service Area must be determined

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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