Editor: Frederick L. Kiechle, MD, PhD
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Q. Which gynecological slides can cytotechnologists report?
A. January 2019—The CAP cytopathology checklist requirement CYP.07465 “Pathologist Interpretation” states that the following categories of gynecologic cytology slides must be reviewed and interpreted by the pathologist:- Malignant or suspicious for malignancy
- Low- and high-grade squamous intraepithelial lesions
- Atypical squamous cells
- Atypical glandular cells
- Reactive or repair
The laboratory’s written policy must define the types of slides or categories that must be referred to a pathologist for review and reporting. The policy must include all of the gynecologic categories listed in CYP.07465 as well as any other limitations if required by the laboratory. In addition, all nongynecological cases must be reviewed by a pathologist as required in CYP.05332 “Report Review.”
The CLIA regulation 42 CFR 493.1274(e) provides additional information.
Dawna Mateski, MT(ASCP)
Checklist Customization Analyst
CAP Accreditation Programs