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PAP
PAP SMEAR, CONVENTIONAL METHOD, SCREENING

Test Code PAP 
Test PAP SMEAR, CONVENTIONAL METHOD, SCREENING 
Description Useful for the evaluation of inflammatory, infectious, or benign proliferative conditions; screening of unsuspected or confirmation of suspected atypia; premalignant or malignant changes; follow-up of patients with known and/or treated premalignancy or malignancy.

NOTE: The Pap smear is a screening test designed to aid in the detection of premalignant and malignant conditions of the uterine cervix. It is not a diagnostic procedure and should not be used as the sole means of detecting cervical cancer. Both false-positive and false-negative results do occur.

NOTE: This test, when ordered on Medicare patients, is subject to the CMS Medicare Coverage Issues Manual (MCIM) policy "PAP Smear (Screening)". Please verify that the diagnosis code (ICD-9) you have chosen demonstrates medical necessity for the test as documented in the physician's patient record. The CMS web site or the NorDx Limited Coverage Documentation Guide are available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD-9 code chosen. 

Specimen Obtain specimen using appropriate collection device and process as follows:
1. After the specimen is collected, spread material quickly and evenly onto a glass slide. SEND ONLY 1 SLIDE PER PATIENT. ADDITIONAL SLIDES WILL BE PERFORMED AT AN ADDITIONAL CHARGE.
2. Immediately spray fix slide.

NOTE:
1. LABEL THE FROSTED END OF THE SLIDE IN PENCIL WITH THE PATIENT'S NAME (FIRST AND LAST), DATE OF COLLECTION, AND SOURCE OF SPECIMEN. UNLABELED SPECIMENS WILL NOT BE PROCESSED.
2. Place the slide in a cardboard slide folder. Do not close the folder until the slide has dried completely. Specimen may adhere to cardboard folder or paper filaments may adhere to the slide making evaluation difficult.
3. LABEL THE CARDBOARD SLIDE FOLDER WITH PATIENT'S NAME (FIRST AND LAST), DATE OF BIRTH, DATE OF COLLECTION, AND TYPE OF SPECIMEN.
4. Indicate whether Pap is routine, or diagnostic and support with the proper ICD codes on the requisition form.
5. Include all pertinent/relevant clinical information.

For additional collection information, see "Gynecologic (PAP) Smears (Conventional)". 

Reference Values Interpretive Bethesda report. 
Analytic Time Varies 
Day(s) Test Set Up Monday through Friday 
CPT Code(s) 88164  (non Medicare)
P3000  (Medicare only)

Special Instructions