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Cytopathology Procedures and Charges - Gynecological Specimens

PAP Test:  Female genital sources, Cervix, Vagina, Endocervix (C/V/E)
Manual and/or image-guided microscopic evaluation under physician supervision.  The Bethesda System, modified, result reporting.

   ThinPrep PAP Vial, Liquid: Technical component
   $99.00 
CPT-4 Codes/HCPCS:  Screening Automated G0145 
                                                      Diagnostic Automated 88175
   $90.00  CPT-4 Codes/HCPCS:  Screening Manual G0123
                                                      Diagnostic Manual 88142

   PAP Smear, Conventional: Technical component
   1-3 slides fixed.
   $45.00  CPT-4 Codes/HCPCS:  Screening P3000
                                                      Diagnostic 88164

   PAP reviewed by a Pathologist: Professional component
   +$57.00  CPT-4 Codes/HCPCS:  Screening Conventional P3001 
                                                         Screening; Liquid/Thin G0124 
                                                         Diagnostic, all types 88141

HPV Test: Hybrid Capture II HPV DNA, high risk types (hrHPV)
ThinPrep Vial submitted: In addition to PAP test, or HPV test only.  
Testing performed by CPAL.
$140.00  CPT-4 Code: 87624

GC by PCR: Neisseria gonorrhoeae (GC), Cervical specimen source only.
Thin PAP Vial submitted: in addition to PAP test.
Testing performed by Microbiology  
$91.75 
CPT-4 Code: 87591

Chlamydia trachomatis (CT) by PCR: Cervical specimen source only.
ThinPrep Vial submitted: in addition to PAP test. 
$91.75  CPT-4 Code: 87491

CONSULTATION and Supplemental Report: Gyn specimen sources.
ThinPrep Vial or Pap Smear slides submitted.
$350.00  CPT-4 Code: 88321

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