|
Frequently Asked Questions
Can I use the SpiraBrush CX during a patient’s menses?
Yes.
Can the SpiraBrush CX be used during pregnancy?
The SpiraBrush CX is not contraindicated in pregnant patients.
Do I still need to do an ECC?
Yes. SpiraBrush CX replaces only the punch biopsy. The rest of your routine remains the same.
Do I need to anesthetize the cervix before getting a specimen?
That is up to you, it’s not necessary. Patients have said it feels about the same as a Pap smear.
Can I use Lugol’s solution prior to taking a biopsy?
You can use whatever protocol you normally use when preparing the patient for biopsy.
I use acidic acid (vinegar) solution to prep the cervix prior to taking the biopsy. Will I also do this with the SpiraBrush CX?
Yes. You would use the same protocol you use now.
How can I be sure that I have an adequate tissue sample when using the SpiraBrush CX?
First, confirm visually that the brush head is loaded with bloody mucoid material. Then check for micropunctate bleeding at the site of the lesion. Follow up with a visual inspection of the site with your colposcope if you prefer.
Should I take a punch biopsy after I’ve taken a SpiraBrush CX biopsy?
No. The SpiraBrush CX has been cleared by the FDA to replace the punch biopsy.
Will I still need Monsels or silver nitrate to stop the bleeding?
Rarely. A cotton swab is usually enough to tidy up.
What are the CPT codes?
Use the same CPT code you normally use for a punch biopsy (Colpo with biopsy #57454). There is no change in the code when using the SpiraBrush. The lab processing is the same as well (#88305).
|
|
|
|
|