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Specimen Collection Manual and Test Catalog

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ANAL PAP

Geisinger Epic Procedure Code:  LAB4098    Geisinger Epic ID:  17605

SPECIMEN COLLECTION
Specimen type: 

Anal specimen


Preferred collection container: 
Specimen required: 

Sure Path Vial with spatula/brush in vial.or ThinPrep vial without spatula/brush in vial. See Specimen notes for collection techniques.


Special notes: 

SurePath vial: Using the "Cervex broom," insert the long tines into the anal canal and twist clockwise 4 times. Pop off the broom tip into the SurePath vial which is labeled with the patient name and medical record number.. 

ThinPrep vial: Using collection device, insert the long tines into the anal canal and twist clockwise 4 times. Swish the collection device into the ThinPrep vial. Do not submit the collection device in the ThinPrep vial. Label with patient name and medical record number. 

For HPV testing on anal pap specimens, a separate specimen must be submitted. This specimen must be collected using the Digene Cervical Sampler/Specimen Transport.



SPECIMEN PROCESSING
Transport temperature: 

Room temperature.


Rejection criteria: 

Inadequate patient identifiers on specimen, unlabeled specimen, discrepancy between patient specimen and requisition information, improper collection, brush tip not submitted.



TEST DETAILS
CPT code(s):  88112
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Microscopic examination of Pap-stained thin-layer preparations.


Methodology: 
Microscopic Examination
Synonyms: 

Anal Pap, anal cytology


Clinical significance: 

The anal Pap is a screening used in high-risk population to identify premalignant cytologic changes of the anal epithelium.


Doctoral Director(s): 
Sara Monaco MD
Review Date:  10/21/2024

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