Pap Smear, Thin Prep

Additional Info:
If indicated, further testing considered medically appropriate will be reflexed, resulting in additional charges.

Methodology: Cytyc ThinPrep® 2000 system

Specimen Requirements:

NOTE: ABN form MUST accompany the specimen for prompt processing.

COLLECTION PROCEDURE

Brush/Spatula

  1. Collect sample from ectocervix with a plastic spatula.
  2. Rinse spatula in the PreservCyt® vial by swirling vigorously 10 times. Place cap on vial until step 4. Discard collection device.
  3. Sample endocervix with an endocervical brush.
  4. Rinse the brush in the PreservCyt solution by rotating the device in the solution 10 times while pushing against the PreservCyt vial wall. Swirl the brush vigorously to further release material. Discard the collection device.
  5. Cap the PreservCyt vial tightly. Tighten the cap of the vial so that the black “torque” line on the cap passes the black “torque” line on the vial.

Broom

  1. Obtain a sample from the cervix using a broom-like device.
  2. Rinse the collection device into a PreservCyt Solution vial by pushing the broom into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. As a final step, twirl the broom between the thumb and forefinger vigorously to further release cellular material. Discard the collection device.
  3. Cap the PreservCyt vial tightly. Tighten the cap of the vial so that the black “torque” line on the cap passes the black “torque” line on the vial.

TO ENSURE THE BEST POSSIBLE RESULTS OF A PAP SMEAR:

  • Abstain from sexual intercourse for 24-48 hours prior to exam.
  • Abstain from using vaginal medication, vaginal contraceptives, or douches for 24-48 hours prior to exam.
  • Do not collect during a menstrual period; if so, appointment should be rescheduled. The optimal time for a Pap smear is around day 16-18 of the menstrual cycle.

NOTE:

  • If the patient is a Medicare patient, note the date of the last pap smear.
  • Please complete the “Pennsylvania Cytology Services” form supplied by Meadville Medical Center Laboratory. Refer to “Instructions for Completion of Request Forms” in front of manual for further information.
  • Refer to “Patient Information” section in back of manual for patient handout explaining collection information for this test.

Analytical Time: 4 days

Days Set Up: No setup days

CPT Reflex: 88141-path review

CPT Information: G
0123 –

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