Medical Cytology

Message
Cytopathology


Test Code
LAB13


Alias/See Also
Anal smear
Anal, Cytology
Bile Drainage, Cytology
Bile Duct brushing, Cytology
Bladder Washing, Cytology
Body Cavity Fluid, Cytology
Breast Discharge, Cytology
Bronchial Brushing, Cytology
Bronchial Washing, Cytology
Bronchoalveolar Lavage (BAL), Cytology
Cerebrospinal Fluid, Cytology
Fluid, Cytology
Abscess, Cytology


Instructions
Brushing smears from Pulmonary, GI, or other smear sources:
     -Quickly make smear & immediately insert in 95% ETOH container provided by Cytology Lab.
     -Request AFB and/or GMS stains if desired. GMS stains fungus (PCP, Candida, Aspergillus, etc.)

Brush tips:
     
-Cut off tip, insert in tube containing saline.
     -Samples can be shared with Microbiology

Bronchial washings or BALs:
     -Submit fresh (unfixed) so sample can be shared wtih Microbiology.
     -Request AFB and/or GMS stains if desired.

CSF:
     -Submit fresh (unfixed) sample for sharing with other departments as neccessary.

Body Fluids (pleural, ascitic, pericardial):
     -Submit fresh (unfixed) sample

Abscess, peri-implant, breast, pelvic washings, other miscellaneous fluids:
     -Submit fresh (unfixed)

Urinary tract:
     -Submit fresh (unfixed) sample for sharing with other departments as necessary.

Submit source information with the specimen.


Transport Container
Fluid: Transport all available specimen to the laboratory.
Unfixed fluid: must be submitted refrigerated within 24 hours.
Slides: Transport specimen on fixed or unfixed slides.


Transport Temperature
Fresh Unfixed Fluid: Refrigerated
Fixed Fluid: Room temperature. Also acceptable: Refrigerated.
Fixed or Unfixed Slides: Room temperature. Also acceptable: Refrigerated


Specimen Stability
Fresh Unfixed Fluid: Ambient: 24 hours; Refrigerated: 72 hours; Frozen: Unacceptable
Fixed Fluid: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
Fixed or Unfixed Slides: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unlabeled vials/containers/slides


Methodology
Microscopy

Setup Schedule
Mon-Sat


Report Available
2-5 Business days


Clinical Significance
This test is used for all non-gynecologic sources EXCEPT specimens obtained by fine needle aspiration. For fine needle aspirate (FNA) specimens, refer to Fine Needle Aspiration (LAB534)


Performing Laboratory
Cytology Laboratory, Hoag Hospital Newport Beach



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.