S-T Test Listing

SurePath™ Imaging Pap and HPV mRNA E6/E7,C. trachomatis, N. gonorrhoeae

Test Code: 18828

CPT Codes: 88175 (HCPCS: G0145), 87624, 87491, 87591

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

SurePath™ Imaging Pap and HPV mRNA E6/E7 ages 30-65)

Test Code: 18813 

CPT Code: 88175 (HCPCS: G0145), 87624

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

SurePath™ Imaging Pap reflex HPV mRNA E6/E7 (age <21)

Test Code: 18811

CPT Code: 88175 (HCPCS: G0145)

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

SurePath™ Imaging Pap

Test Code: 18810

Test Name: Pap

CPT Code: 

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

Testosterone, FR (Dialysis) and Total (LC/MS/MS)

Test Code: 36170

CPT Code(s): 84402, 84403

Includes: Total Testosterone, Free Testosterone (calculated)

Methodology: Calculation (CALC); Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS); Tracer Equilibrium Dialysis

Clinical Significance: Helpful in assessing testicular function in prepubescent hypogonadal males and in managing hirsutism, virilization in females.

Additional names: Not applicable

T4 (Thyroxine), Total

Test Code: 867

CPT Code(s): 84436

Methodology: Immunoassay (IA)

Clinical Significance: For diagnosis of hypothyroidism and hyperthyroidism

Note: Free T4 Index (T7) will only be calculated and reported if order code 861 (T3 Uptake) is ordered as well.

Additional names: T4; T-4 (RIA); T4 Total; Tetraiodothyronine; Thyroxine; Thyroxine T4; Thyroxine Total