Automated Pap with Age-Based Screening with CT/NG, Trichomonas

Overview

  • EPIC Code:
  • LAB3001
  • Soft Test Code:
  • MSOT
  • Send Out Test Code:
  • 91386
Alternate Names
  • Image Guided Pap Age Based with CT/NG/Trich
  • Image-Guided Pap with Age-Based Screening with CT/NG, Trichomonas
  • Thin Prep
Included Tests

Chlamydia trachomatis (CT); Neisseria gonorrhoeae (NG); and Trichomonas vaginalis


Clinical Significance

Based on the patient's age and on ACOG Practice Guidelines for cervical cancer screening and Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis screening


Specimen Collection & Preparation

Specimen Requirements:

-OR-

1 ThinPrep® pap vial
Rejection Criteria:

Received refrigerated

Received frozen

Swabs

Cervical swabs in Digene® HC cervical sampler

Digene® vials


Transport and Storage:
  • Ambient (18-24°C):
  • Ambient (18-24°C): 14 Days

-OR-

1 SurePath™ pap vial
Rejection Criteria:

SurePath vials without the head of the collection device(s) in the fluid

Received Frozen


Transport and Storage:
  • Ambient (18-24°C): 4 Days

Clinical Interpretation

Reference Range:

Refer to Interpretive Report


Test Comments:

• Patients aged 21-24: Patients will receive Image-guided Pap and, when the result is ASC-US, a high-risk HPV mRNA test will be performed. Additionally, CT/NG and TV will be performed.
• Patients aged 25-29: Patients will receive Image-guided Pap and, when the result is ASC-US, a high-risk HPV mRNA test will be performed. Additionally, CT/NG and TV will be performed.
• Patients aged 30-65: Patients will receive Image-guided Pap and a high-risk HPV mRNA test. When the Pap result is negative but the HPV mRNA screen is positive, Genotyping for HPV mRNA 16, 18/45 will be performed. Additionally, CT/NG and TV will be performed.
Patients falling outside of the above age ranges, or without a date of birth, will receive an Image-guided Pap. Additionally, CT/NG and TV will be performed.


Methodology:
  • Microscopy with Computer-imaging
  • Transcription-Mediated Amplification
Clinical Significance

Based on the patient's age and on ACOG Practice Guidelines for cervical cancer screening and Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis screening


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Monday
Tuesday
Wednesday
Thursday
Friday
Departments
  • Sendouts - Clinical
Turn Around Time

5 to 7 days


Coding & Compliance

CPT Coding

88175* (HCPCS: G0145) Chlamydia trachomatis (CT)/Neisseria gonorrhoeae (NG) RNA, TMA will also be performed (CPT code(s): 87494) Patients 21-25: If the Pap result is ASC-US then the HPV mRNA assay will be performed at an additional charge (CPT code(s): 87624). Chlamydia trachomatis (CT)/ Neisseria gonorrhoeae (NG) RNA, TMA (CPT code(s): 87491, 87591), and Trichomonas vaginalis ("trich" or TV), Qualitative TMA, Pap Vial (CPT code(s): 87661) will also be performed. Patients 26-29: If the Pap result is ASC-US then the HPV mRNA assay will be performed at an additional charge (CPT code(s): 87624). CT/NG RNA, TMA (CPT code(s): 87491, 87591), and TV, Qualitative TMA, Pap Vial (CPT code(s): 87661) will also be performed. Patients 30-65: If the Pap result is negative and the HPV mRNA screen (CPT code(s): 87624) is positive (detected), then HPV mRNA Genotypes 16, 18/45 will be performed at an additional charge (CPT code(s): 87625). CT/NG RNA, TMA (CPT code(s): 87491, 87591), and TV, Qualitative TMA, Pap Vial (CPT code(s): 87661) will also be performed.  Pap results requiring physician interpretation will be performed at an additional charge (CPT Code(s): 88141; HCPCS: G0124).