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University of Iowa Diagnostic Laboratories (UIDL) Test Directory 319-384-7212 (local) 1-866-844-2522 (toll free) |
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| 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 |
Updated: 03/26/2008