Blood Specimen Collection
Download DLO's Blood Specimen Collection Chart
For additional supply or collection device information, please contact DLO's Customer Services at (800) 891-2917, option 2.
Primary Care
SurePath Imaging Herpes Simplex Virus, Type 1 and 2 DNA, Real-Time PCR, Pap Vial
Test Code: 90569
CPT Codes: 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
SurePath Imaging Trichomonas vaginalis RNA, Qualitative, TMA, PAP Vial
Test Code: 90521
CPT Codes: 87661
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 Chlamydia/N. Gonorrhoeae RNA, TMA
Test Code: 11363
CPT Codes: 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 Chlamydia trachomatis RNA, TMA
Test Code: 11362
CPT Code: 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 Chlamydia trachomatis RNA, TMA
Test Code: 11361
CPT Codes: 87491
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 & HPV mRNA E6/E7, reflex HPV 16,18/45
Test Code: 18829
CPT Codes: 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 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