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Breast FNA
MessageUse the Non-Gyn Cytology Examination Form (NAVMEDCEN PTSVA 6510/4) Rev 2/95 for completeness and legibility or the CHCS order. Minimum information on the chit should include:
1) Last name, First name, Middle initial
2) Family member prefix
3) SSN
4) Age
5) Requesting health care provider’s name
6)Requesting ward/clinic
7) Procedure requested
8) Clinical information (pertinent findings, history, therapy, etc.)
A standby of the same sex will be provided for the patient. Physicians, physician assistants, nurse, or properly selected and trained individuals E3 or above may act as standbys.
Call Cytology 953-1745 for assistance.
1) Last name, First name, Middle initial
2) Family member prefix
3) SSN
4) Age
5) Requesting health care provider’s name
6)Requesting ward/clinic
7) Procedure requested
8) Clinical information (pertinent findings, history, therapy, etc.)
A standby of the same sex will be provided for the patient. Physicians, physician assistants, nurse, or properly selected and trained individuals E3 or above may act as standbys.
Call Cytology 953-1745 for assistance.
Test Code
Breast FNA
CPT Codes
10021
Preferred Specimen
Identify Right or Left breast.
Minimum Volume
Each slide must be labeled.
Transport Temperature
Room Temperature
Report Available
2 days