Test Code DHPVR Human Papillomavirus (HPV) Type 16 with Type 18, 31, 33, and 35 Reflex, Droplet Digital PCR, Blood
Ordering Guidance
This test should be used as an initial pre-diagnostic screen to detect and quantify circulating cell free DNA from 5 high-risk human papillomavirus genotypes, including HPV-16, -18, -31, -33 & -35. This test is specific for HPV-16 which accounts for 90% of HPV associated head and neck squamous cell carcinomas. This test should be used as a pre-diagnostic screen without prior knowledge of HPV genotype. If the HPV genotype is known, specific tests for HPV-16 (DHPVA / Human Papillomavirus [HPV] Type 16, Droplet Digital PCR, Blood) or HPV-18, -31, -33 & -35 (DHPVB / Human Papillomavirus [HPV] Types 18, 31, 33, and 35, Droplet Digital PCR, Blood) should be ordered individually for monitoring purposes, as appropriate.
For routine cervical cancer screening, order VHPV / Human Papillomavirus (HPV) Vaginal Detection with Genotyping for High-Risk Types by PCR.
Specimen Required
Supplies: Streck Tan Top Tube Kit (T715)
Container/Tube: Streck Cell-Free DNA blood collection kit
Specimen Volume: Two 10-mL Streck Cell-Free DNA blood collection tubes
Additional Information: Only blood collected in Streck Cell-Free DNA tubes will be accepted.
Useful For
Aid in the diagnosis of cancers caused by human papillomavirus (HPV) high-risk genotypes 16, 18, 31, 33, and 35
Pre-diagnostic screening (ie, prior to confirmation of an HPV-related cancer through traditional biopsy)
This test should not be used to screen asymptomatic patients.
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| DHPVB | HPV-18/31/33/35, cfDNA, ddPCR, B | Yes | No |
Testing Algorithm
If testing is positive for the human papillomavirus (HPV)-16 genotype, no further testing is performed. If negative for HPV-16, reflex testing for the less frequently encountered HPV-18, -31, -33 and -35 genotypes is performed at an additional charge.
Method Name
Droplet Digital Polymerase Chain Reaction (ddPCR)
Reporting Name
High Risk HPV ddPCR, ReflexSpecimen Type
Whole bloodSpecimen Minimum Volume
One 10 mL Streck Cell-Free DNA blood collection tube
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole blood | Ambient (preferred) | 7 days |
| Refrigerated | 7 days |
Reject Due To
| Specimen collected in tube other than Streck Cell-Free DNA collection tube | Reject |
Reference Values
Not detected
Day(s) Performed
Varies
Report Available
5 to 10 daysPerforming Laboratory
Mayo Clinic Laboratories in Rochester
Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
87799
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| DHPVR | High Risk HPV ddPCR, Reflex | In Process |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 623293 | HPV-16 ddPCR Result w/ Reflex | 61372-9 |
| 623294 | HPV-16 ddPCR Quant w/ Reflex | In Process |