Nipple Discharge

Message
During normal working hours, cytology specimens will be brought to Specimen Receiving, Bldg 2. After hours, they will be turned over to the Senior Laboratory Technician.
All non-GYN specimen containers must be clearly labeled with the patient’s identification data. In addition, the following information must also be included on the chit:
-Date and time of collection.
-Specimen source.
If a body fluid specimen cannot be brought immediately to the cytology processing room, it must be refrigerated, and brought to the Laboratory as soon as possible.

 
 


Test Code
Nipple Discharge


CPT Codes
88104

Preferred Specimen


 If specimens are obtained from both breasts, a separate non-GYN Cytology Examination Report should be used for the specimens from each breast. 
 Slides made from both breasts must be labeled as to which breast (Right or Left).




Instructions

DO NOT MASSAGE OR SQUEEZE THE BREAST.  Too vigorous manipulation may dislodge and spread malignant cells.

  1. Open bottle of fixative and have patient hold the bottle near the breast.
  2. GENTLY express only the nipple and subareolar area of any secretions that may be lying in the collecting ducts.  IF NO SECRETION APPEARS AT THE NIPPLE WITH THIS GENTLE COMPRESSION, DO NOT MANIPULATE FURTHER.
  3. Allow a “pea” size drop of fluid to collect upon the nipple tip.
  4. Immobilize the breast and, using the nipple, smear the material across a glass slide.
  5. IMMEDIATELY, place the slide into the fixative.  Time is of the essence here.  Smearing the material across the slide and placing the slide in fixative should be accomplished in one motion.
  6. Make as many smears as the amount of material allows.

 
The submitted slides are identified by writing the patient’s name, FMP, and last 4 digits of sponsor’s social security number on the frosted end of the slides with a soft lead pencil.   
 



Transport Temperature
Room Temperature


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens submitted on cotton swabs will be rejected.


Report Available
2 days




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.