University of Iowa
Diagnostic Laboratories
(UIDL) Test Directory

319-384-7212 (local)
1-866-844-2522 (toll free)


Pap Smear
Order Form: Cytopathology Requisition
Specimen:
Cervical/Vaginal Smear
Minimum:
1 smear; fix immediately (without air-drying) with spray fixative.
Analytic Time:
5 working days
Reference Range:
Normal result is: Negative for intraepithelial lesion or malignancy.
Comments:
Please print, complete and submit the Advance Beneficiary Notice 
(ABN) along with the Cytopathology Requisition before shipping the 
specimen.
Methodology:
Manual screening by cytotechnologist under physician supervision.
Instructions:
The requisition with complete patient history must accompany the 
specimen: Provide age, last menstrual period, type of hormones being 
received, IUD, abnormal bleeding, previous abnormal smears, 
chemotherapy and/or radiation.

Be sure and indicate if this is a Screening (preventative in nature) or 
Diagnostic (signs or symptoms of disease or high risk)Pap Smear. Pencil 
patient name and hospital number on the frosted end of the glass slide.
CPT Code:
Screening Pap Smear HCPCS codes: P3000 (technical)
                                 P3001 (physician code if abnormal)

Diagnostic Pap Smear CPT codes:  88164 (technical)
                                 88141 (physician code if abnormal)
 
See also:
Pap Test-Liquid Based Collection, Cervical/Endocervical/Vaginal Cells in Fluid Collection Media
 
See Additional Information:
Pap Test Coding and Billing

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Updated: 03/26/2008