Pap Test/ Gynecologic Cytology Request  PAP TEST

Synonyms

Pap Smear, Pap Test, ThinPrep

Allscripts (AEHR) Order Name

Not Orderable

Sunrise Clinical Manager (SCM) Order Name

Not Orderable

EPIC Order Name

Cytopathology - GYN Report

Clinical Info

PDM # 5915331 
The Cytopathology requisition form must be completed with the following information:
- Name and location of the referring clinician
- Source of specimen: Cervical, Endocervical or Vaginal
- Test(s) ordered
- Specimen collection date.
- Patient demographics: name, address, gender, and date of birth
- Last menstrual period.
- ICD-10 code (reason for test)
- Significant patient history or, if none, “Routine” should be included.

Specimen Type

Swab, Cervical, Vaginal

Container

ThinPrep PreservCyt® Solution vial. (White Cap Container)

Collection Instructions

- The patient’s name and date of birth are required on the vial.
- Plastic Spatula: Insert the notched end of the spatula in the cervical os and rotate
360 degrees while maintaining firm contact with the epithelial surface. Rinse
the spatula directly into the PreservCyt® Solution vial.
- Broom: Insert the long central bristles into the cervical os until the lateral
bristles bend against the ectocervix and rotate three to five time in a
clockwise direction while maintaining gentle pressure. Transfer the material
directly into the PreservCyt® Solution vial rinsing it vigorously.
- Brush: Insert brush into the endocervical canal until only the bristle closest to the
handle are visible; rotate the brush only 180 degrees to minimize bleeding.
Transfer the material directly into the PreservCyt® Solution vial rinsing it
vigorously.
- Do not leave any collection device inside the PreservCyt® Solution vial.

Transport Instructions

Specimen Stability

3 Weeks Room Temperature
3 Weeks Refrigerated
Unacceptable frozen

Methodology

Thinprep pap test with imaging, Thinprep pap test without imaging, Papanicolaou staining  

Days Performed

Monday through Friday

Performing Laboratory

Northwell Health Laboratories

CPT

88175/88141/88142

PDM

5915331

Result Interpretation

The Bethesda System for Reporting Cervical Cytology

Forms

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