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Test Code 1009 Pap (Smear) Test

Methodology

Screening and Interpretation by Pathologist.

Performing Laboratory

Alomere Health Hospital Laboratory

Specimen Requirements

Submit only 1 of the following:

 

Preferred: PreservCyt® Fixative

1. Vigorously remove adherent cellular material from collection device directly into PreservCyt® fixative. Collection device (brush, spatula or cervical broom) should be discarded after use. ThinPrep Pap slides will be prepared at Alomere Health Pathology.

2. Label PreservCyt® container with patient identification and specimen source.

3. Specify specimen source, list LMP and complete questionnaire on requisition. Remember to label all containers.

4. Complete a “Cytology Examination Request Form” in “Forms” in “Special Instructions” and forward it with the specimen.

 

Acceptable: Conventional Pap Smear

1. Label polysine slides with patient identification.

2. Roll brush or spatula across slide to produce a thin, evenly layered smear.

3. Immediately place slides in 95% alcohol fixative.

4. Specify specimen source, list LMP and complete questionnaire on requisition. Remember to label all slides and containers.

5. Complete a “Cytology Examination Request Form” in “Forms” in “Special Instructions” and forward it with the specimen.

Specimen Transport Temperature

Ambient

Reference Values

Negative for intraepithelial lesion or malignancy

Day(s) Test Set Up

Monday through Friday

Test Classification and CPT Coding

88142 - ThinPrep® pap (if appropriate)

88164 - Conventional pap (if appropriate)

88141 - Pap requiring interpretation by physician (if appropriate)