CYTOPATHOLOGY, URINARY

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


Test Code
LAB1230112


Includes
Cytologic evaluation of ThinPrep preparations. If requested,reflex testing for fluorescent in-situ hybridization (FISH) when cytology results are atypical or suspicious.


Preferred Specimen
Voided and Instrumented Urines: CytoLyt fixative collection cup or fresh in sterile cup  
 

 


Minimum Volume

60 mL of specimen



Note: Specimens consisting of less than 60 mLs of fluid may be considered non-diagnostic




Instructions
Patient should avoid douching forty-eight to seventy-two hours prior to examination. Sample the ectocervix using a plastic spatula. Rinse the spatula into the PreservCyt Solution vial by swirling the spatula vigorously in the vial ten times. Sample the endocervix using an endocervical brush. Rinse the brush in the same vial by rotating the device in the solution ten times while pushing against the PreservCyt vial wall. Swirl the brush vigorously to further release material. Discard the brush and spatula. Securely tighten the cap and label the vial with patient's name and hospital number. Include all pertinent history with paper requisition. 
 


Transport Temperature
Ambient


Specimen Stability
Urine: Fresh specimen will degenerate.Stable if collected in Cytolyt fixative collection cup or add equalvolume of 50% ethyl alcohol. 
Urinary Washings: Unstable at Room Temperature. Specimen not submitted immediately to laboratory will degenerate if not transported in Cytolyt fixative collection cup. 


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Urine Specimens: Unlabeled specimen. 
Urinary Washings: Unlabeled specimen


Clinical Significance
For Thin Prep pap smears, the clinician must indicate whether high-risk HPV testing is to be performed per 2020 ASCCP guidelines, regardless of diagnosis, or not at all. More information is available at: www.asccp.org


Performing Laboratory
West Virginia University Hospital, Inc.



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.