Gynecologic Pap Test−Age-based Guideline for Cervical Cancer (Aptima®) Plus Chlamydia/Gonococcus

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Test Details

Synonyms

  • Age-based Guideline for Cervical Cancer Plus Chlamyda/Gonococcus
  • Cervical Cancer Screening Plus Chlamydia/Gonococcus

Use

Diagnose primary or metastatic neoplasm; detect Chlamydia trachomatis and Neisseria gonorrhoeae. High-risk HPV test is used for types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68, without differentiation of the individual type. When the age guideline includes possible genotyping, the residual specimen will be tested individually for high-risk HPV genotypes 16 and 18,45 if the Pap evaluation is within normal limits and the initial HPV test is positive. This information, together with the physician's assessment of cytology history, other risk factors, and professional guidelines, may be used to guide patient management. The results of this test are not intended to prevent women from proceeding to colposcopy.

Limitations

Failure to obtain adequate ectocervical, endocervical, or vaginal cell population is suboptimal for evaluation. Excessive use of lubricating jelly on the vaginal speculum will interfere with cytologic examination and may lead to unsatisfactory Pap results. The use of the liquid-based cytology specimen for multiple tests may limit the volume available for Pap reprocessing or HPV testing. A negative result does not exclude the possibility of an HPV infection, since very low levels of infection or sampling error may produce a false-negative result. This test detects only the 14 most common high-risk HPV types. Reflex testing for genotypes 16 and 18,45 may be indicated based on patient age and other test results. Testing for Chlamydia trachomatis and Neisseria gonorrhoeae requires that special procedures be used in the processing of the cytology specimen; therefore, testing for these organisms cannot be added on after the specimen has been submitted.

Methodology

Image-guided liquid-based Pap test; nucleic acid amplification (NAA). LabCorp protocol is based on the ACOG guidelines.1,2 Aptima® is a registered trademark of Gen-Probe Inc.

Specimen Requirements

Specimen

Cervical cells collected by one of the methods described below.

Volume

ThinPrep® vial or SurePath™ vial

Minimum Volume

A minimum volume cannot be determined for the ThinPrep® vial because it varies depending on the cellularity of the specimen. The entire SurePath™ specimen should arrive intact.

Container

ThinPrep® vial or SurePath™ vial

Patient Preparation

Patient should avoid douches 48 to 72 hours prior to examination. Specimen should not be collected during or shortly after menstrual period.

Collection

ThinPrep® Vial − Broom or Brush/Spatula:

Broom-like collection technique: Obtain a sample from the cervix using a broom-like device by inserting the brush portion into the cervical os and then rotating the brush five times. Rinse the collection device in the PreservCyt® solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. As a final step, twirl the brush between the thumb and forefinger vigorously to release additional cellular material. Discard the collection device. Tighten the cap on the ThinPrep® vial so that the torque line on the cap passes the torque line on the vial.

Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. Slowly rotate the brush 1/4 to 1/2 turn in one direction. Do not over-rotate the brush. Then, rotate the brush in the PreservCyt® solution 10 times while pushing against the wall of the ThinPrep® vial. Swirl the brush vigorously to release additional material. Discard the brush. Obtain an adequate sample from the ectocervix using a plastic spatula. Swirl vigorously in the ThinPrep® vial 10 times and discard the spatula. Tighten the cap on the ThinPrep® container so that the torque line on the cap passes the torque line on the vial.

SurePath™ Vial: When using the SurePath™ vial, the cervical broom must be used for specimen collection. Insert the broom into the cervical os and rotate five times. Place the broom head into the CytoRich™ preservative fluid in the SurePath™ collection vial. Tightly cap the vial.

Storage Instructions

Maintain liquid-based cytology specimen at room temperature. Pap processing must be performed within 21 days of collection. Specimens in ThinPrep® vials must be processed for testing within three months of collection for HPV. SurePath™ vial must be processed for testing within 21 days of collection for HPV. Liquid-based cytology specimens must be tested within seven days for Chlamydia/Gonococcus.

Causes for Rejection

Improper collection; inadequate specimen; improper labeling; specimen leaked in transit; quantity not sufficient for analysis; name discrepancies; specimen submitted on male patient; specimen submitted in vial that expired according to manufacturer's label; frozen specimen. For Pap: liquid-based cytology specimen more than 21 days old. For HPV: specimen more than three months old in ThinPrep® vial; specimen more than 21 days old in SurePath™ vial. For Chlamydia trachomatis and Neisseria gonorrhoeae: liquid-based cytology specimen more than seven days old.

Clinical Information

Special Instructions

Include date of birth, Social Security number (or other identification number), previous malignancy, drug therapy, radiation therapy, last menstrual period (LMP), postmenopausal patient (PMP), surgery (including surgical biopsies), exogenous hormones, abnormal vaginal bleeding, abnormal Pap results, IUD, and all other pertinent clinical information on the cytology test request form.

Note: In accordance with criteria established by CLIA, Pap tests will be referred for pathologist review if laboratory personnel suspect:

• Reactive or reparative cellular changes

• Atypical squamous or glandular cells of undetermined significance

• Cells in the premalignant or malignant category

In these cases, LabCorp will charge for the associated service. (Slides that are routinely reviewed by a pathologist for quality control purposes are not included.)

Footnotes

1. American College of Obstetrics and Gynecologists. Screening for Cervical Cancer. ACOG Practice Bulletin N° 131, November 2012. Obstet Gynecol. 2012 Nov; 120(5):1222-1238.
2. American College of Obstetrics and Gynecologists. Primary and Preventive Care: Periodic Assessments. ACOG Committee Opinion N° 483, April 2011. Obstet Gynecol. 2011 Apr; 117(4):1008-1015.

References

Centers for Disease Control and Prevention. Recommendations for the Laboratory-Based Detection of Chlamydia trachomatis and Neisseria gonorrhoeae−2014. MMWR Recomm Rep. 2014; 63(2):1-19.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
193070 IGP,Aptima HPV Age Gdln, CtNg 191185 Age Gdln ACOG Testing N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191121 Test ordered: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191109 Specimen adequacy: 19764-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191160 Clinician provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191174 Clinician provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191107 Clinical history: 22636-5
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191124 Amended report: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191110 Additional comment: 22638-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191123 Maturation index: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191112 Performed by: 19767-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191128 QC reviewed by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191145 Diagnosis provided by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191113 Electronically signed by: 19769-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191139 Special procedure: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191129 Cytology history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191179 Previous history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191144 QA comment: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191157 Pathologist provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191175 Pathologist provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 186114 Chlamydia, Nuc. Acid Amp 50387-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 186122 Gonococcus, Nuc. Acid Amp 50388-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019031 Patient Counseling Report N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191121 Test ordered: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191109 Specimen adequacy: 19764-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191160 Clinician provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191174 Clinician provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191107 Clinical history: 22636-5
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191124 Amended report: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191110 Additional comment: 22638-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191123 Maturation index: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191112 Performed by: 19767-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191128 QC reviewed by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191145 Diagnosis provided by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191113 Electronically signed by: 19769-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191139 Special procedure: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191129 Cytology history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191179 Previous history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191144 QA comment: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191157 Pathologist provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191175 Pathologist provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 186114 Chlamydia, Nuc. Acid Amp 50387-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 186122 Gonococcus, Nuc. Acid Amp 50388-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019031 Patient Counseling Report N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191121 Test ordered: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191109 Specimen adequacy: 19764-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191160 Clinician provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191174 Clinician provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191107 Clinical history: 22636-5
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191124 Amended report: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191110 Additional comment: 22638-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191123 Maturation index: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191112 Performed by: 19767-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191128 QC reviewed by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191145 Diagnosis provided by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191113 Electronically signed by: 19769-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191139 Special procedure: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191129 Cytology history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191179 Previous history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191144 QA comment: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191157 Pathologist provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191175 Pathologist provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 190119 . N/A
Reflex 2 000000 507303 000000 30167-1 507405
Reflex 3 000000 507405 000000 59420-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 190119 . N/A
Reflex 2 000000 507801 000000 59420-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 186114 Chlamydia, Nuc. Acid Amp 50387-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 186122 Gonococcus, Nuc. Acid Amp 50388-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199320 IGP, CtNg, rfx Aptima HPV ASCU 019031 Patient Counseling Report N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191121 Test ordered: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191109 Specimen adequacy: 19764-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191160 Clinician provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191174 Clinician provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191107 Clinical history: 22636-5
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191124 Amended report: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191110 Additional comment: 22638-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191123 Maturation index: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191112 Performed by: 19767-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191128 QC reviewed by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191145 Diagnosis provided by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191113 Electronically signed by: 19769-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191139 Special procedure: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191129 Cytology history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191179 Previous history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191144 QA comment: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191157 Pathologist provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191175 Pathologist provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 507801 HPV Aptima 59420-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 186114 Chlamydia, Nuc. Acid Amp 50387-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 186122 Gonococcus, Nuc. Acid Amp 50388-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 199310 IGP,CtNg,AptimaHPV,rfx16/18,45 019031 Patient Counseling Report N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191121 Test ordered: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191109 Specimen adequacy: 19764-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191160 Clinician provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191174 Clinician provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191107 Clinical history: 22636-5
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191124 Amended report: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191110 Additional comment: 22638-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191123 Maturation index: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191112 Performed by: 19767-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191128 QC reviewed by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191145 Diagnosis provided by: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191113 Electronically signed by: 19769-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191139 Special procedure: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191129 Cytology history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191179 Previous history: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191144 QA comment: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191157 Pathologist provided ICD9: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191175 Pathologist provided ICD10: 52797-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 000000 Test Methodology: 47527-7
Reflex 2 000000 L19200 000000 47527-7
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 186114 Chlamydia, Nuc. Acid Amp 50387-0
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 186122 Gonococcus, Nuc. Acid Amp 50388-8
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 196402 Pap IG, Ct-Ng 019031 Patient Counseling Report N/A

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The LOINC® codes are copyright © 1994-2018, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf