CYTOLOGY (CYTOPATHOLOGY, NON-GYN)

Message
ALL CYTOPATHOLOGY SPECIMENS MUST BE SUBMITTED WITH A PRINTED COPY OF THE ORDER


Test Code
LAB13


CPT Codes
88112

Includes
Fluid Specimens:  Cytologic evaluation of thin preps and possible cell block preparations as indicated. 
CSF Specimens: Cytology evaluation of CSF cytospin preparation.
Vitreous Specimens: Cytological evaluation of smears. Thin prep and possible cell block preparations as indicated.
Nipple Discharge: Cytologic evaluation of smears prepared from nipple discharge.
Brushings: Cytologic evaluation of thin prep and possible cell block preparations as indicated.
Bronchial washings/ Bronchial Lavages: Cytologic evaluation, thin prep, and possible cell block preparation as indicated.
Pneumocystis & Fungi: Cytologic evaluation, special stain for pneumocystis, and fungi on respiratory tract material


Preferred Specimen
Fluid, CSF Specimens, Brushings, Sputum, Bronchial Washings/Bronchial Lavages or Pnumocystis & Fungi: CytoLyt Fixative Collection Cup or sterile cup 
Vitreous Specimens: Slide in cardboard folder or entire specimen in CytoLyt
Nipple Discharge: Nipple discharge on slide


Minimum Volume
Fluid: Entire specimen upto 1 Liter. 
CSF: 2mL Fluid
Nipple discharge: 1 smear
Bronchail Washing/ Bronchial Lavages: 20 mL bronchial washing or 5 mL BAL


Other Acceptable Specimens
Fluids: Pleural, Pericardial, Peritoneal, Ascetis, Cul-De-Sac Fluid, Cyst fluid, Synovial Fluid and Pelvic Washing
Vitreous Specimens: conjunctival scrapings, aqueous, vitreous
Brushings: Bronchial, Esophageal, Gastric, Intestinal, Biliary Tract, Pancreatic, Colonic, and Urinary Tract Brushings


Instructions
Vitreous Specimens: Slides must be labeled with two identifiers (ie, name and medical record number).
Nipple Discharge: Ensure smears are dry before placing them in a cardboard slide holder. Slides must be labeled with two identifiers (ie,
   name and medical record number).
Brushings: Tweeze the material from the brush or submit the brush without the plastic covering in Cytolyt Fixative.
Sputum: A deep cough specimen or induced specimen.
Bronchial Washings/ Bronchail Lavages: Unfixed specimen necessary for special stain Oil Red O.
 


Transport Temperature
Ambient


Specimen Stability
Fluid, CSF,Vitreous Specimens, Brushings, Sputums, and Bronchial Washings/ Bronchial Lavages: Unfixed specimen will degenerate. Stable if collected in Cytolyt fixative collection.
Nipple Discharge Air Dried Smear
Pneumocystis & Fungi: Ambient: Unstable. Specimen will degenerate if not transported in CytoLyt fixative collection cup


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Fluid, CSF,  Sputum, Bronchial Washings/Bronchial Lavages or Pneumocystis & Fungi: Unlabeled specimens
Vitreous Specimens or Nipple Discharge: Irreparable, broken slides. Unlabeled/improperly labeled specimens or slides.
Brushings: Dry brush or inadequately preserved specimen. Inadequately labeled specimen container


Methodology
Manual Slide Review

Setup Schedule
Monday-Friday


Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Camden Clark Medical Center
United Hospital Center



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.