Redo topic in PAP

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Aug 6th, 2022
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How to redo topic in PAP

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Iamp;#39;ve been asked to speak today about endocervical cells in a pap smear their significance and problems that Iamp;#39;ve encountered my practice in being sure that theyamp;#39;re there on the on a pap collection and what that means clinically why is it important that a pap smear be collected in a very specific anatomic location and in a very specific manner meaning if we get samples here why is that not as good as a sampling that occurs here in terms of screening for cervical cancer if we were to look at this region of the uterus the end of cervical canal in a microscope it has very specialized columnar cells that produce mucus we have to mention at this very specific arrow here and that is where the inside where the end of cervical cells meet the outside the squamous cells multi-layered here this very specific anatomic location has a name and thereamp;#39;s it has several names clinically itamp;#39;s referred to as the transformation zone youamp;#39;ll see this in the char

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Typically, your doctor will use the Loop Electrosurgical Excision Procedure (LEEP), or perform a cold knife cone biopsy as a minor surgical procedure. Be sure to always bring up any questions you may about you Pap test with your gynecologist.
If your Pap test is abnormal, follow up with your gynecologist immediately to discuss next steps. If the second, follow-up Pap test result is also abnormal, you might have a cervical biopsy, also known as a colposcopy.
Repeat Pap testing in one year This is generally the preferred option for people age 21 to 24. HPV testing This is also an option. If the HPV test is negative, you can return to your regular screening schedule. If the HPV test is positive, you should repeat the Pap test in one year.
Your doctor may recommend you have a Pap test more often than once every 3 years if you have: Cervical cancer or a Pap test that revealed precancerous cells. HIV infection. A weakened immune system due to an organ transplant, chemotherapy, or chronic corticosteroid use.
When the patient comes in for a second Pap smear, submit the appropriate E/M service. CPT does not include a code for taking the Pap, so you should use the office visit code (99211-99215). You will probably report 99212 for the Pap retest visit because the patient is here only for the Pap smear.
Following an abnormal Pap smear, your next step is additional testing. Dr. Tajzoy may suggest redoing the Pap smear to see if results come back the same. In addition to a retest, you can expect a thorough evaluation of your overall health.
You may be asked to repeat your Pap test more often for a short period of time, for example every 6 months. This allows time to see if the abnormal cells change back to normal on their own. Your doctor may suggest a human papillomavirus (HPV) test. You may be referred for a special examination called colposcopy.
Atypical repair is characterized by reparative cells that have cytologic abnormalities that exceed those of typical repair. Atypical repair is a form of atypical squamous or glandular cells associated with a wide variety of conditions ranging from reactive to neoplastic.

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