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HelpTest Code Path Non-Gyn Anal/Rect Cytology, Anal-Rectal Brushing
Useful For
Identification of pre-malignant cytologic changes in the epithelium of the anal canal.
Synonyms/Keywords
Anal Pap for Cytology, Anal Brush for Cytology, Anal Smear for Cytology
Specimen Requirements
| Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|
| Brushing | ThinPrep | 20.0 mL |
Collection/Processing Instructions
PREFERRED: Obtain an adequate sampling from the anal-rectal canal using a cytobrush or Dacron swab. Lubricants should not be used prior to obtaining cytology sample, which may interfere with the processing and interpretation of the specimen. Insert the cytobrush or moistened Dacron swab into the anal canal until resistance is not met. Rotate the cytobrush or swab 360 degrees while gentle pressure is applied to the walls of the anal canal as the brush or swab is gradually withdrawn. Immediately rinse the cytobrush or swab in the ThinPrep PreServCyt Solution by rotating the collection device in the solution 10 times while pushing against the PreServCyt vial wall. Swirl the brush vigorously to further release material. Discard brush or swab. Tighten the cap so that the torque line on the cap passes the torque line on the vial. Record the patient name and medical record number on the vial and requisition form.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| ThinPrep | Room Temperature | 4 weeks |
Test Information
Specify specimen source and include pertinent patient history, clinical information and appropriate ICD-10 code on request form or electronic order.
CPT code may vary by specimen type and condition submitted upon arrival.
Interferences
A sample from the peri-anal skin is not sufficient for diagnosis and will result in an unsatisfactory or limited specimen. Consult Cytopathology with questions (800-222-5835, ext. 16155).
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Marshfield | Interpretative Report (Bethesda System) |
Marshfield Labs Performing Department
Marshfield Labs Cytopathology
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Marshfield | Monday-Friday | 2 days | Light Microscopy |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 88112 | Cytology ThinPrep |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
|
88112 |
Cytology ThinPrep |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Pathology Non-Gyn Request |