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HIGH RISK HPV (138-0020) CPT 4 CODE: 87620 Test Order Mnemonic: HIRISKHPV Applies to: Presence or absence of High Risk HPV Lab: Molecular Diagnostics Laboratory Request Form: See Electronic Lab Requisition or Molecular Diagnostics Lab Requisition form Collection: Cervical collection using Digene collection kit available through UTMB Materials Management; or Cervical sample collected using SurePath collection kit also acceptable. Storage Instructions: Submit specimen in Digene transport medium: Ambient: 2 weeks; Refrigerated: 3 weeks; Frozen: 3 months; or submit specimen in SurePath transport medium: Ambient and Refrigerated: 1 month; Frozen: Unacceptable. Causes for Rejection: Collection not utilizing Digene or SurePath Collection Kit Availability: Samples are received 24 hours per day at UTMB Sample Management, Room 5.136 McCullough. Samples may be delivered Monday-Friday, 7:00 AM - 4:00 PM to Molecular Diagnostics Laboratory, Room 5.190 John Sealy Annex. Special Instructions: Submit one specimen in either Digene transport meduim or SurePath transport meduim . Do not combine collections, please submit separate specimen for High Risk HPV testing. Specimen: Cervical sample in Digene or SurePath transport medium Reviewed by Jianli Dong, MD, PhD 03/2006 |
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