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24995 Cytology, Endocervical Non-Pap

Cytology, Endocervical Non-Pap
Test Code: ENP
Synonyms/Keywords
​Endocervical Brush for Cytology, Endocervical Smear for Cytology
Useful For
Utilized as a test for the extent of premalignant cellular changes within the endocervical canal. Testing is performed following an abnormal Pap test result and is considered an acceptable alternative to endocervical curettage.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
ThinPrep or Smear​ ThinPrep vial​
Fixed slide
or
PAP-PAK​
20.0 mL of PreservCyt Solution​
Collection Processing Instructions
PREFERRED: Obtain an adequate sampling from the endocervical canal using an endocervical brush. Insert the brush into the cervix until the bottom most fibers are exposed. Slowly rotate 1/4 to 1/2 turn in one direction. DO NOT OVER-ROTATE. Immediately rinse the brush in the PreServCyt Solution by rotating the collection device in the solution 10 times while pushing against the ThinPrep PreservCyt vial wall. Swirl the brush vigorously to further release material. Discard brush. Tighten the cap so that the torque line on the cap passes the torque line on the vial. Record the patient name and medical history number on the vial and requisition form. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.
 
ALTERNATE: One slide fixed immediately after collection. Using a pencil, label a one-end frosted slide with patient name and one other unique identifier. The PAP-PAK Cytology collection kit may also be used. Immediately fix the smears with spray fixative or fixative gel from PAP-PAK collection kit. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.​
Specimen Stability Information
Specimen Type Temperature Time
ThinPrep​ Room Temperature​ 4 weeks​
Smear​ Room Temperature​ ​
Interference
Lubricants may increase the risk of contaminating and obscuring the cellular sample. When collecting a specimen, warm water is suggested to lubricate and warm the speculum. If a lubricant must be utilized, a sparing application to the outer portion of the speculum, with avoidance of the tip, is recommended. The following lubricant brands are acceptable to use with the PreServCyt Solution: Surgilube, Astroglide, and Crystelle.​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday-Friday​ 1 day​ Light Microscopy​
Test Information
Specify specimen source and include pertinent patient history, clinical information and appropriate ICD Code on electronic order or test requisition. CPT code may vary by specimen type and condition submitted upon arrival.​
Reference Range Information
Performing Location Reference Range
Marshfield​ Bethesda System (Interpretative Report)​
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
88112​ Cytology ThinPrep​
88160 Cytology Smear​
Synonyms/Keywords
​Endocervical Brush for Cytology, Endocervical Smear for Cytology
Ordering Applications
Ordering Application Description
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
ThinPrep or Smear​ ThinPrep vial​
Fixed slide
or
PAP-PAK​
20.0 mL of PreservCyt Solution​
Collection Processing
PREFERRED: Obtain an adequate sampling from the endocervical canal using an endocervical brush. Insert the brush into the cervix until the bottom most fibers are exposed. Slowly rotate 1/4 to 1/2 turn in one direction. DO NOT OVER-ROTATE. Immediately rinse the brush in the PreServCyt Solution by rotating the collection device in the solution 10 times while pushing against the ThinPrep PreservCyt vial wall. Swirl the brush vigorously to further release material. Discard brush. Tighten the cap so that the torque line on the cap passes the torque line on the vial. Record the patient name and medical history number on the vial and requisition form. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.
 
ALTERNATE: One slide fixed immediately after collection. Using a pencil, label a one-end frosted slide with patient name and one other unique identifier. The PAP-PAK Cytology collection kit may also be used. Immediately fix the smears with spray fixative or fixative gel from PAP-PAK collection kit. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.​
Specimen Stability Information
Specimen Type Temperature Time
ThinPrep​ Room Temperature​ 4 weeks​
Smear​ Room Temperature​ ​
Interference
Lubricants may increase the risk of contaminating and obscuring the cellular sample. When collecting a specimen, warm water is suggested to lubricate and warm the speculum. If a lubricant must be utilized, a sparing application to the outer portion of the speculum, with avoidance of the tip, is recommended. The following lubricant brands are acceptable to use with the PreServCyt Solution: Surgilube, Astroglide, and Crystelle.​
Useful For
Utilized as a test for the extent of premalignant cellular changes within the endocervical canal. Testing is performed following an abnormal Pap test result and is considered an acceptable alternative to endocervical curettage.
Reference Range Information
Performing Location Reference Range
Marshfield​ Bethesda System (Interpretative Report)​
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday-Friday​ 1 day​ Light Microscopy​
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
88112​ Cytology ThinPrep​
88160 Cytology Smear​
For most current information refer to the Marshfield Laboratory online reference manual.