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Test Code Path FNA Req Cytology, Fine Needle Aspiration

Important Note

Order as "Patholgy Fine Needle Aspiration"

Useful For

Cellular material is obtained from space occupying lesions for diagnosis. Fine needle aspirations may be performed on palpable lesions or lesions detected  by imaging techniques. Rapid on-site assessment of specimen adequacy is performed on fine needle aspiration samples collected during bronchoscopy and gastrointestinal endoscopy procedures.

Synonyms/Keywords

.FNA, Fine Needle Aspirate, Pathology Fine Needle Aspiration

Specimen Requirements

Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
FNA          

Collection/Processing Instructions

PREFERRED:  Prepare 2-6 smears as follows: Label each of the one-end frosted slides with patient last name and medical record number. If multiple sites are sampled, indicate site on frosted end of slide and requisition form or electronic order (i.e. Specimen 1, 2 or A, B, etc.). Place a small amount of specimen on the clear portion of one of the slides. Place another slide (clear portion) on top of the specimen. Gently pull the two slides apart. Fix both slides IMMEDIATELY in 95% ethyl alcohol (spray fixative is an alternative but suboptimal fixative). Wash needle in Hanks Balanced Salt Solution and send needle rinse along with a properly completed Cytology test requisition or electronic order.  

 

ALTERNATE: There are two means of submitting a fluidspecimen: a) place fluid in sage container with 30 mL of Cytolytand sent with slides or b) in a capped syringe and sent immediately to the lab.(DO NOT send with needle).   Lab personnel must fix specimen within 2 hrs. of collection by adding 30 mL of Cytolyt.
 

PATHOLOGIST ON-SITE IMMEDIATE ASSESSMENT:  For each pass, the assessing pathologist should record the following on the assessment sheet: pass number, adequacy statement and any comments along with the pathologist signature and assessment date. Each specimen/site assessment should be recorded on a separate assessment sheet.

Specimen Stability Information

Specimen Type Temperature
FNA Room Temperature

Test Information

For assistance with slide preparation and/or pathologist immediate assessment information, contact the Cytopathology Lab.  

 

Specify specimen source, include pertinent patient history, clinical information and appropriate ICD-10 code on test requisition or electronic order.  

 

NOTE:  If air-dried slides for Diff-Quick stain are prepared, label the slides "air" and put in cardboard or plastic slide holders and send along with the fixed slides and needle rinse.  

 

NOTE:  If Flow Cytometry is requested or ordered, collect as for Cytology EXCEPT place needle rinse in Hanks Balanced Salt Solution (HBSS).  Do NOT place in fixative.  Keep specimen at room temperature.

 

For collection and ordering of Parathyroid Hormone chemistry testing, see  PTH, Intact Other Fluids

 

For collection and ordering of Thyroglobulin chemistry testing, see Thyroglobulin Other Fluids

 

For collection and ordering of CEA chemistry testing, see CEA, Body Fluid

 

For collection and ordering of Amylase chemistry testing, see Amylase, Other

 

NOTE:  Chemistry testing from a fine needle aspiration rinse should be collected in a 15 mL centrifuge tube.  No more than 1 mL of sterile saline may be used to rinse the collected material into the appropriate collection tube.  Chemistry testing samples should be accompanied by the corresponding requisition and/or labeled with electronic order labels.  Specimens should be stored/transported separately from the fine needle aspiration materials, in accordance with the corresponding test stability information.

Interferences

Consult Cytopathology with questions (800-222-5835, ext. 1-6155).

Reference Range Information

Performing Location Reference Range
Marshfield Interpretative Report

Marshfield Labs Performing Department

Marshfield Labs Cytopathology

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday-Friday 2 days Light Microscopy

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
88173     Interpretation and Report  
88305     Cell block  
88172     First Immediate Assessment Charge as needed
88177     Additional Immediate Assessment Charge as needed

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
88173     Interpretation and Report  
88305     Cell block  
88172     First Immediate Assessment Charge as needed
88177     Additional Immediate Assessment Charge as needed

Ordering Applications

Ordering Application Description
 
Cerner Pathology FNA Request