SurePath Imaging Pap - Spatula & Brush

Supply #165885 SurePath w/ Spatula & Brush
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

Collection Guide: 

Supply: C06 SurePath w/ Spatula & Brush

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 insert for complete Directions for Use.

Alternative specimen(s): None

Transport container: Surepath vial

Transport temperature: Room temperature

Specimen stability for Pap:
  • Room temperature: 4 weeks
  • Refrigerated: 6 months
Specimen stability for CT/NG:
  • Room temperature: 14 days
  • Refrigerated: 14 days
  • Frozen: not established
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

For additional supply or collection device 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.