SurePath Imaging Pap - Broom
Main Content
| 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 Specimens Collection:
Surepath® preservative fluid collected using Brush/Spatula
Supply: C05 SurePath w/ Broom
Includes 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).
Preferred specimen(s): Pap sample collected with a cytobroom. Cytobroom tip submitted in a SurePath vial. Alcohol based solution that serves as preservative and transport media for gynecological samples.
Minimum volume: Gynecological sample collected with cytobroom in routine manner and broom tip deposited in SurePath vial.
Insert the Rovers Cervix-Brush® into the endocervical canal. Rotate brush five times in a clockwise direction.
Drop the detachable head of the device into the SurePath™ vial.
Place the cap on the vial and tighten. Send the SurePath™ vial to the lab for processing.
Contraindication: The Cervex-Brush® should not be used on patients after the first 10 weeks of pregnancy.
Alternative specimen(s): None
Transport container: Surepath vial
Transport temperature: Room temperature
- Room temperature: 4 weeks
- Refrigerated: 6 months
- 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 device information, please contact DLO's Customer Service 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.
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