|Order form:||Epic Req|
|Downtime form:||A-1a Doctor-Provider Orders - Pathology Cytopathology|
One collection vial with detached Cervex-brush(broom)head in proprietary fixative solution. Collection kits (SUREPATH) are available from Processed Stores. See collection video link listed below. This video is 9 min 45 seconds and will take you through the step by step collection procedure.
Complete patient history must accompany the specimen: Provide age, specimen source, last menstrual period, type of hormones being received, IUD, abnormal bleeding, previous abnormal smears, chemotherapy and/or radiation. Be sure and label the collection container with the patient's name and medical record number. The sample container should contain the detached head of the broom (see Sample Collection Instruction Video).
Screening Liquid Based Pap test HCPCS codes: G0123 (technical) G0124 (physician code if abnormal) Diagnostic Liquid Based Pap test CPT codes: 88142 (technical) 88141 (physician code if abnormal)
Pap Smear, Cervical/Vaginal Smear