Cytology - Brushings

WSLH Department: Cytology
WSLH Test Code: 93801 BRUSH
Availability: Monday-Friday
Turn-around Time: 2 business days
Recommended Uses: Evaluation of brushings for premalignant, malignant, or infectious inflammatory changes.
Contraindications: Delay in transport and/or processing may cause cells to degrade.
Additional Tests Performed:
Patient Preparations: As per clinician
Specimen Requirements: A. NGYN ThinPrep vial. Patient's full legal name, DOB, DOS and specimen type must be written on vial container. B. Plain glass slides with frosted end. Patient's full legal name must be written on the frosted end of the slide.
Specimen Handling & Transport: Insert glass slide in plastic slide holder. Label holder with full legal name of patient. Place the NGYN ThinPrep vial and/or plastic holder into the biohazard bag. Place biohazard bag and requisition orders into styrofoam container. Place completed requisition form in the styrofoam mailer. Label the styrofoam mailer with the following: Your laboratory/clinic's address, WSLH Cytology Department address, diagnostic specimen label, biohazard sticker. PLEASE NOTE: Transport ASAP or within 12 hours. The specimen does not need to be refrigerated or packed with ice. The styrofoam mailer does not need to be placed in a biohazard bag. Transport via courier or shipping carrier with a tracking option strongly preferred.
Collection Kit/Container: Brushings Kit #16 and Mailers
Collection Instructions: A. Label patient's name, DOB, DOS and specimen type on the vial. Vigorously roll the brush along the sides and bottom of the ThinPrep vial. B. Label slides with patient's name. Smear brush onto clean dry slide. Fix immediately in 95% ethanol or with cytology spray fixative. Allow slides to fix in 95% ethanol for at least 15 minutes. Then allow slides to completely air dry. Place fixed slides into slide container.
Unacceptable Conditions: Slides broken beyond repair during transport. Unlabeled slides and specimen containers. Specimens that leak out of ThinPrep vial may not be processible.
Requisition Form: WSLH Cytology Form 141-NGYN
Required Information: Laboratory regulations require the following minimum information to be provided on the requisition form for a specimen to be accepted for testing: Patient name or unique identifier; date and time of collection, patient date of birth and sex, specimen type/site of collection, test request(s), clinician name and UPIN, and address for reporting results. Please be certain that name/identifier on the form matches that on the specimen label.
Results Include: Negative for Malignancy; Atypical Cells Present; Suspicious for Malignancy; Positive for Malignancy; and Unsatisfactory specimen. Results may also include inflammatory, bacterial, and viral findings.
Limitations: Poorly fixed or air-dried samples impair evaluation. For some specimen types, a minimum number of locally expected cells must be present to determine adequacy. Without minimum numbers, the specimen may be rendered as non-diagnostic or unsatisfactory. The presence of abnormal cells will always be documented on the report regardless of the presence or absence of local cells. As with any laboratory test, both false negative and false positive results may occur.
Additional Tests Recommended:
Additional Comments:
Methodology: Cytologic evaluation of brushing specimens from a variety of body sites.
Includes: Brushings obtained from esophagus, bronchus, stomach, small bowel, large bowel, kidney, bladder.
CPT Code: 88104
Price: $134.00
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