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Test Code CPAPS Conventional Smear-Screen, Varies


Ordering Guidance


Laboratory approval is required prior to ordering cytology testing.

 

Specimen submitted as endocervical curettage or endocervical brushing need to be ordered as CYTNG / Cytology Non-Gynecologic.



Necessary Information


1. An acceptable cytology request form must accompany specimen containers and include the following: Patient's name, medical record number, date of birth, sex, source (exact location and procedure used), date specimen was taken, name of ordering physician and pager number.

2. Submit any pertinent clinical information, including date of last menstrual period.



Specimen Required


Patient Preparation: For optimal interpretation, Papanicolaou smears should be collected near the middle of the menstrual cycle. No douching, lubricant use, or sexual intercourse for 24 hours prior to specimen collection.

Container/Tube: Slide

Specimen Volume: Circular scrape of cervical os

Collection Instructions:

1. Specimen containers must be labeled with a minimum of 2 unique identifiers (patient's name, and medical record number or date of birth). Containers should also be labeled with specimen source, and date collected.

2. Glass slides may be labeled with a single unique identifier, but 2 identifiers are preferred. If multiple slides are submitted, each slide must have proper identification. Glass slides should be identified with the patient's name and a second patient identifier that is also on the accompanying paperwork (ie, medical record number or date of birth)

3. Fix slides immediately in 95% alcohol or treat with commercially available spray fixative.


Useful For

Screening for cervical carcinoma and a number of infections of the female genital tract including human papillomavirus, herpes, Candida, and Trichomonas

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
CVSPC Physician Interp Conventional No No

Testing Algorithm

If Papanicolaou results are abnormal, a pathologist will review the case at an additional charge.

Special Instructions

Method Name

Light Microscopy

Reporting Name

Conventional Smear-Screen

Specimen Type

Varies

Specimen Stability Information

Specimen Type Temperature Time Special Container
Varies Ambient (preferred) SLIDE
  Refrigerated  SLIDE

Reference Values

Satisfactory for evaluation

Negative for intraepithelial lesion or malignancy

 

Note: Abnormal results will be reviewed by a physician at an additional charge.

Interpretation

Standard reporting, as defined by the Bethesda System (TBS) is utilized.

Clinical Reference

1. Wright TC Jr, Cox JT, Massad LS, et al: ASCCP-Sponsored Consensus Conference. 2001 Consensus Guidelines for the management of women with cervical cytological abnormalities. JAMA 2002 April;287(16):2120-2129

2. Solomon D, Davey D, Kurman R, et al: The 2001 Bethesda System: terminology for reporting results of cervical cytology-Consensus Statement. JAMA 2002 April;287(16):2114-2119

Day(s) Performed

Monday through Friday

Report Available

2 to 5 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

P3000

88164

88141-CVSPC (if appropriate)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
CPAPS Conventional Smear-Screen In Process

 

Result ID Test Result Name Result LOINC Value
71301 Interpretation 59465-5
71302 Participated in the Interpretation 19768-1
71303 Report electronically signed by 19139-5
71304 Addendum 35265-8
71305 Gross Description 22634-0
CY032 Pap Test Source 19763-2
CY033 Clinical History 22636-5
CY034 Menstrual Status (LMP, PM, Pregnant) 8678-5
CY035 Hormone Therapy/Contraceptives 8659-5
71572 Disclaimer 62364-5
71818 Case Number 80398-1