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Epic Test Code LAB13 Cytology, Non Gyn (Sputum Cytology)

Performing Location(s)

BMC

Specimen Type

Sputum (see Other Requirements)

Preferred Container

Specimen Cup

Specimen should be submitted fresh or in Cytolyt Fixative

 

NOTE: This fixative renders the specimen unsatisfactory for cultures

Storage Requirements

Refrigerate

Transportation Needs

Transport promptly to the lab

Volume Required

5 mL

Causes for Rejection

Mislabeled or unlabeled specimen

Improper fixation (with formalin)

Not a deep cough specimen (Saliva)

Limitations

If bronchial cells and/or dust pigment macrophages are not identified, the specimen will be reported as unsatisfactory

Additional Information

Patient Preparation:

The patient should rinse his/her mouth with water before producing a specimen to reduce oral contaminants

 

Other Requirements:

One first morning deep cough, each day, for three days yields the best diagnostic results

A completed cytology requisition is required, including pertinent patient information. Include admitting diagnosis, past history of cancer, clinical impression and symptoms.

Rush specimens require a pathologist approval

 

Additional Information:

Requests for the identification of organisms should be indicated on the requisition

 

NOTE: Requests for Pneumocystis carinii pneumonia (PCP) are limited to induced sputums

 

Sputum Collection Procedures

Days of Analysis

M-F

Available STAT

Yes (See Other Requirements)

Methodology

Manual stain and microscopy

CPT Code

88112

Last Updated

20-Jun-18 BHD