Gynecologic Pap Test−Age-based Guideline for Cervical Cancer Screening

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Test Details

Synonyms

  • Age-based Guideline for Cervical Cancer Screening
  • Cervical Cancer Screening

Use

Diagnose primary or metastatic neoplasm. High-risk HPV test is used for genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68, without differentiation of the individual types. When the age guideline includes possible genotyping, the residual specimen will be tested individually for high-risk HPV genotypes 16 and 18 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 13 most common high-risk HPV types and cannot determine the specific HPV type present.

Methodology

Image-guided liquid-based Pap test; nucleic acid amplification (NAA). LabCorp protocol is based on ACOG guidelines.1,2

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 Only:

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 rotate 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.

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 specimens 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.

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.

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 smears 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.)

If ThinPrep® vials are QNS for the hybrid capture assay, then a test requiring a lower input volume will be automatically performed if there is sufficient volume to perform that assay.

Footnotes

1. American College of Obstetricians 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 Obstetricians and Gynecologists. Primary and Preventive Care: Periodic Assessments. ACOG Committee Opinion N° 483, April 2011. Obstet Gynecol. 2011 Apr; 117(4):1008-1015.

References

American College of Obstetricians and Gynecologists. ACOG Committee Opinion N° 483: Primary and Preventive Care: Periodic Assessments, 2011. Obstet Gynecol. 2011; 117(4):1008-1015.21422880
American College of Obstetricians and Gynecologists. Clinical Management Guidelines for Obstetricians-Gynecologists. ACOG Practice Bulletin N° 109: Cervical Cytology Screening, 2009. Obstet Gynecol. 114(6):1409-1420.20134296
American Society for Colposcopy and Cervical Pathology. HPV Genotyping Clinical Update. Hagerstown, Md: ASCCP; 2009:1-3.
Centers for Disease Control and Prevention. Screening Tests to Detect Chlamydia trachomatis and Neisseria gonorrhoeae Infections--2002. MMWR Recomm Rep. 2002; 51(RR-15):1-38.12418541
Hutchinson ML, Cassin CM, Ball HG 3rd. The efficacy of an automated preparation device for cervical cytology. Am J Clin Pathol. 1991; 96(3):300-305.1877527
Hutchinson ML, Isenstein LM, Goodman A, et al. Homogeneous sampling accounts for the increased diagnostic accuracy using the ThinPrep® Processor. Am J Clin Pathol. 1994; 101(2):215-219.8116578
Joseph MG, Cragg F, Wright VC, et al. Cytohistological correlates in a colposcopic clinic: A 1-year prospective study. Diagn Cytopathol. 1991; 7(5):477-481.1954825
Wilbur DC, Cibas ES, Merritt S, et al. ThinPrep® Processor: Clinical trials demonstrate an increased detection rate of abnormal cervical cytologic specimens. Am J Clin Pathol. 1994; 101(2):209-214.8116577

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
193025 PapIG HPV Age Gdln ACOG 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 194074 Pap IG, rfx 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 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 197146 PapIG, HPV, rfx 16/18 507303 HPV, high-risk 30167-1
Reflex 2 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 197146 PapIG, HPV, rfx 16/18 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 197146 PapIG, HPV, rfx 16/18 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191108 DIAGNOSIS: 22637-3
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191166 Interpretation N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191170 Category: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191173 Recommendation: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191169 Infection: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191172 Adequacy: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 191111 Recommendation: 19773-1
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191154 Source: 19763-2
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191125 Addendum: 22639-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 019018 . 11546-9
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 190120 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 190109 Note: N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 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 193000 Pap IG (Image Guided) 191167 Photomicrograph N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 019030 . N/A
Reflex Table for Age Gdln ACOG Testing
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 193000 Pap IG (Image Guided) 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