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hPV high risk assay: (138-0020)
Clinical Indication:	Screen for high risk Human Papilloma Virus infection.
Test Mnemonic:	HIRISKHPV
Methodology:	Hybrid capture
Performed:	Molecular Diagnostics Laboratory
Turnaround Time:	3-14 days
Specimen Requirements:	Patient Preparation: Sample is collected during cervical examination Collect: Collect cervical specimen using the Digene collection kit (available through UTMB Materials Management); or collect cervical sample the SurePath collection kit. Specimen Preparation: Submit specimen in Digene transport medium ; or submit specimen in SurePath transport medium. Storage/Transport: Transport at room temperature or refrigerated temperature. Stability: Digene collection - Ambient: 2 weeks; Refrigerated: 3 weeks; Frozen: 3 months; or SurePath transpo rt medium: Ambient and Refrigerated: 1 month; Frozen: Unacceptable. Causes for Rejection: Incomplete and/or incorrect sample identification, collection not utilizing Digene or SurePath Collection Kit
Clinical Information:	Abnormal Pap smear findings do not automatically reflex to this test. Please order HPV test in addition to Pap smear test.
Reference Range:	Not detected
Note:	This test can identify 13 high-risk types of HPV associated with the development of cervical cancer.
CPT 4 Code:	87620
Review	1/15/2013 T. Friloux and Dr. Dong
When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

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