| Test Code | Test Name | CPT Code |
| 18810 | Pap | 88175 (HCPCS: G0145) |
| 18811 | Pap reflex HPV mRNA E6/E7 (age <21) | 88175 (HCPCS: G0145) |
| 18813 | Pap and HPV mRNA E6/E7 ages 30-65) | 88175 (HCPCS: G0145), 87624 |
| 18828 | Pap and HPV mRNA E6/E7,C. trachomatis, N. gonorrhoeae | 88175 (HCPCS: G0145), 87624, 87491, 87591 |
| 18829 | Pap & HPV mRNA E6/E7, reflex HPV 16,18/45 Genotype reflex when pap is negative and HPV is detected |
88175 (HCPCS: G0145), 87624 |
| Out of the Vial | ||
| 11361 | Chlamydia trachomatis RNA, TMA | 87491 |
| 11362 | Neisseria gonorrhoeae RNA, TMA | 87591 |
| 11363 | Chlamydia/N. Gonorrhoeae RNA, TMA | 87491, 87591 |
| 90521 | Trichomonas vaginalis RNA, Qualitative, TMA, PAP Vial | 87661 |
| 90569 | Herpes Simplex Virus, Type 1 and 2 DNA, Real-Time PCR, Pap Vial | 87529 (x2) |
In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath™ Imaging Pap tests and all ThinPrep® Imaging System tests will be CPT coded as 88175.
Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).
Methodology: Liquid Based-Density Gradient Sedimentation
Clinical Significance: 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.
Additional Preferred Specimen Collection:
Surepath® preservative fluid collected using Broom
Supply: #C06 SurePath™ w/Broom & Spatula Kit
- Brush Collection - Insert Cytobrush® Plus GT into the endocervix until only the bottom-most bristles are exposed at the os. Slowly rotate 1/4 to 1/2 turn in one direction. To reduce unnecessary bleeding, do not over-rotate brush.
- Drop the detachable head device(s) into the SurePath™ vial.
- Spatula Collection - Insert the contoured end of the Pap Perfect® plastic spatula and rotate 360 degrees around the entire exocervix.
- Drop the detachable head device(s) into the SurePath™ vial.
- Brush and Spatula - Place the cap on the vial and tighten. Send the SurePath™ vial to the lab for processing.
Warning: Do Not Use Cytobrush® Plus GT on pregnant patients or for endometrial sampling. See SurePath™ Sample Collection Kit product inserts for complete Directions for Use.
Alternative specimen(s): None
Transport container: SurePath™ vial
Transport temperature: Room temperature
- Room temperature: 4 weeks
- Refrigerated: 6 months
Specimen stability for CT/NG:
- Room temperature: 14 days
- Refrigerated: 14 days
- Frozen: not established
- 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
For additional supply or collection information, please contact DLO's Customer Services at (800) 891-2917, option 2.
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 payor being billed.