Resources

Cytology Non-Gyn Request (Tzanck Smear)

Message
Performed in Cytology


Test Code
Cytology Non-Gyn Request (Tzanck Smear)


Includes
Tzanck Smear


Preferred Specimen
Preferred Procedure:
CytoLyt Vial
Denote Source

Alternate Procedure:
Requires slide and fixative from Laboratory - Cytology
Denote Source
1 slide
Fix Slide immediately
Label slide using a # 2 pencil with patient's name and at least one additional identifier(DOB or MR#)


Instructions
Obtain fixative and/or slides from Cytology department.
 
Preferred Procedure: 1. Label CytoLyt vial with patient label and specimen location. Moisten the area to be scraped with saline solution. 2. The lesion should be scraped vigorously at the base of the vesicles. Skin cells are needed, not the fluid inside the vesicle. 3. Place spatula in CytoLyt vial and swirl to dislodge cellular material into fixative solution. Discard spatula. 4. Transport the vial to the laboratory
 
Alternate Procedure: 1. Label the slide with the patient name AND date of birth in pencil. Moisten the area to be scraped with saline solution. Also moisten the spatula with sterile saline. 2. The lesion should be scraped vigorously at the base of the vesicles. Skin cells are needed, not the fluid inside the vesicle. 3. Smear the collected material on a slide in a thin layer. Fix immediately with the 95% alcohol.  Immediate fixation is imperative to procuring and adequate sample. 4. Transport the slide to the laboratory


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Mislabeled specimen/requisition, Unlabeled specimen/requisition, Improperly labeled specimen or requisition, Specimen leaked out of container, Slide broken beyond repair


Setup Schedule
Specimen Received Mon-Thur - Reported next day
Specimen Received Fri - Reported Monday
Specimen Received Sat/Sun - Reported Mon or Tues


Reference Range
Negative for Malignancy.
No viral changes noted.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.