ARUP's Laboratory Test Directory

Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) with Reflex to Human Papillomavirus (HPV) DNA Probe, High Risk : 8100214

Mnemonic: GR REPORT

Ordering Recommendation: Order for cervical cancer screening (includes Pap smear interpretation).
Methodology: Microscopy/Nucleic Acid Probe
Performed: Mon-Fri
Reported: 1-14 days
Specimen Required: Collect: Refer to Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) Specimen Collection for collection guidelines.

Remarks: This test includes a Cytology, SurePath™Liquid-Based Pap Test (AutoCyte PREP™ System) (ARUP test code 8100400) and a Human Papillomavirus (HPV) DNA Probe, SurePath® (Autocyte™) (ARUP test code 0060744), ONLY if the SurePath™ Liquid-Based Pap Test is interpreted as atypical squamous cells of undetermined significance (ASC-US).

Unacceptable Conditions: Refer to Unacceptable Conditions for Human Papillomavirus (HPV) DNA Probe, High Risk, SurePath® (Autocyte™) (ARUP test code 0060744) and Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) (ARUP test code 8100400).

Stability (collection to initiation of testing): Ambient: 1 month; Refrigerated: 1 month; Frozen: Unacceptable

Reference Interval:
High-risk HPV:  Negative
Interpretive Data: Women with atypical squamous cells of undetermined significance (ASC-US) should be managed using a program of either repeat cervical cytology testing, immediate colposcopy, or DNA testing for high-risk types of Human Papillomavirus (HPV).  Testing for HPV DNA is the preferred approach when liquid-based cytology is used for screening.  All women who test positive for high-risk HPV DNA should be referred for colposcopic evaluation.  Women with ASC-US who test negative for high-risk HPV DNA can be followed up with repeat cytologic testing at 12 months (2001 ASCCP Guidelines -JAMA 2002; 287:2120-2129)

A positive high risk HPV test result indicates that the patient may be infected with one or more of the following HPV genotypes: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68; which are associated with cervical cancer and its precursor lesions.  However, cross-reactions with other genotypes may occur.  Results should be correlated with cytologic/histologic findings.

The performance characteristics of this test were determined by ARUP Laboratories, Inc.
Note: A negative result does not rule out the presence of an HPV genotype absent from the test panel, a low level infection, or specimen sampling error.
CPT Code(s): CPT Codes vary based on testing performed.  If reflexed, add 87621
Cross References: Pap Test (Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) with Reflex to Human Papillomavirus (HPV) DNA Probe, High Risk) , SurePath™ Pap Test (Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) with Reflex to Human Papillomavirus (HPV) DNA Probe, High Risk)