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Test Code Pathology Non-Gyn Request, Respiratory Tract-Sputum Cytology, Respiratory Tract-Sputum

Important Note

To order in Cerner place a Pathology Non-Gyn Request and answer prompts

Performing Laboratory

Memorial Hospital Laboratory-Cytology Laboratory 304-388-5562

Specimen Requirements

Expectorated

Collect an early-morning specimen on at least 3 consecutive days in a screw-capped, sterile container as follows:

  1. Instruct patient to brush his/her teeth and/or rinse mouth well with water to minimize contaminating specimen with food particles, mouthwash, or oral drugs.
  2. Have patient remove dentures.
  3. Instruct patient to take a deep breath, hold it momentarily, then cough deeply and vigorously into container and tighten cap on the container. If specimen will not be picked up for 24 hours for transport to laboratory, 30 ml of CytoLyte solution or 50% isopropanol or ethanol fixative should be added before recapping. 
  4. Label container with patient’s first and last name and second identifier, date of collection, physician’s name, and hospital identification number (if applicable).
  5. Please complete a Cytology Request Form including patient’s name, date of birth, date of collection, physician’s name, address, specimen source, and pertinent clinical history; and forward it with the specimen.
  6. Place specimen in a plastic specimen bag with Cytology Request Form inserted into pocket separate from specimen; and, if possible, deliver specimen to Cytology Laboratory.

Induced

  1. Submit slip to Inhalation Therapy for collection of sputum. Technical personnel in the unit will collect specimen, mainly a.m. prior to breakfast.
  2. Place specimen in a screw-capped, sterile container which should be 1/3 full of 50% isopropanol or ethanol fixative solution.
  3. Label container with patient’s first and last name and second identifier, date of collection, physician’s name, and hospital identification number (if applicable).
  4. Please complete a Cytology Request Form including patient’s name, date of birth, date of collection, physician’s name, address, specimen source, and pertinent clinical history; and forward it with the specimen.
  5. Place specimen in a plastic specimen bag with Cytology Request Form inserted into pocket separate from specimen; and, if possible, deliver specimen to Cytology Laboratory.

Specimen Rejection

The following specimens will be returned to submitting physician:

  • Spilled specimens
  • No requisition form
  • Name on requisition does not match name on specimen
  • Unlabeled specimen
  • No doctor’s name give

Rejected

  • Saliva

Storage and Stability

14 days

Reference Values

Critical Value: All suspicious and positives

 

The cells observed in the specimen received may not represent the true nature of the lesion or clinical conditions because of sampling fallibility. A negative cytologic diagnosis does not rule out the possibility of an existing malignancy.

Days Test Set Up and Turnaround

Monday through Friday, 8:00-5:00pm

Specimens received after hours, weekends or holidays will be processed the next business day.

Results available within 2-4 business days.

CPT Coding

88112