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(CTC) Cytology, Non-Gynecologic
Test Code70666
CPT Codes
80500, 87207, 88104, 88108, 88112, 88160, 88161, 88173, 88305, 88399<br>Clinical Trial Code
Preferred Specimen
Specimen requirements: Varies by specimen source
Anal paps - Collect adequate sample using a moistened Dacron swab or cytobrush and thoroughly rinse in PreservCyt® vial.
FNA* samples (breast, head and neck, common bile duct, kidney, lymph nodes, lung, and other body sites)-collect samples from suspected areas; prepare air dried and fixed smears and rinse the needle in PreservCyt®.
Washings, brushings, BAL, effusions, urines or other fluids - mix with equal amount of CytoLyt®.
CSF - If hematopoietic disease is suspected, submit fresh samples.
Direct smears, Tzanck smears, sputum
Anal paps - Collect adequate sample using a moistened Dacron swab or cytobrush and thoroughly rinse in PreservCyt® vial.
FNA* samples (breast, head and neck, common bile duct, kidney, lymph nodes, lung, and other body sites)-collect samples from suspected areas; prepare air dried and fixed smears and rinse the needle in PreservCyt®.
Washings, brushings, BAL, effusions, urines or other fluids - mix with equal amount of CytoLyt®.
CSF - If hematopoietic disease is suspected, submit fresh samples.
Direct smears, Tzanck smears, sputum
Instructions
1. Specimens should be labeled with 2 patient identifiers, (name, DOB, MRN, other unique ID)
2. Slides/smears should be air-dried, and/or fixed with spray fixative or submerged in alcohol to preserve cells
3. Fluid should be preserved with an equal amount of CytoLyt®.
4. If hematopoietic disease is suspected submit fresh samples
5. Transport samples at room temperature unless it is fresh sample.
6. Fresh samples should be refrigerated to preserve cells.
Consults: Client submitted prepared samples for pathologist review
* FNA of Thyroid: use test code 90819
**FNA of Thyroid Reflex to Molecular: use test code 90818
*Urine hemosiderin: use separate test code 518
2. Slides/smears should be air-dried, and/or fixed with spray fixative or submerged in alcohol to preserve cells
3. Fluid should be preserved with an equal amount of CytoLyt®.
4. If hematopoietic disease is suspected submit fresh samples
5. Transport samples at room temperature unless it is fresh sample.
6. Fresh samples should be refrigerated to preserve cells.
Consults: Client submitted prepared samples for pathologist review
* FNA of Thyroid: use test code 90819
**FNA of Thyroid Reflex to Molecular: use test code 90818
*Urine hemosiderin: use separate test code 518
Transport Temperature
PreservCyt® samples: Room temperature
Fresh samples: Refrigerated (cold packs)
Fresh samples: Refrigerated (cold packs)
Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: Unacceptable
Refrigerated: 7 days
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Do not reject, send to department for assessment
Methodology
Papanicolaou staining and/or Diff-Quik and/or H&E and other stains as needed, depending on sample type
Setup Schedule
Set up: Mon-Sat; Report available: 3 days (unless additional tests are added)
Reference Range
Negative for malignant cells
Clinical Significance
Detecting abnormal cytological changes in cellular samples from all body sites
