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HelpTest Code Path Non-Gyn Bronch Br Cytology, Bronchial Brushing
Useful For
Utilized to aid in the diagnosis and localization of lung tumors.
Samples are obtained by passing a bronchial brush through a bronchoscope to collect cellular samples that may be missed with the bronchial wash or lavage technique.
Synonyms/Keywords
Bronchial Brush for Cytology
Specimen Requirements
| Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|
| Brushing | Prefilled Wet Prep Vial, Centrifuge Tube, Sage Container |
Acceptable Body Sites
Bronchial, Left Upper Lobe (LUL) Bronchial, Left Lower Lobe (LLL) Bronchial, Right Upper Lobe (RUL), Right Lower Lobe (RLL) Bronchial, Right Middle Lobe (RML) Bronchial
Collection/Processing Instructions
PREFERRED: After bronchial brushing sampling is completed, the brush and part of the brush sheath is cut off and placed into normal saline. Add enough saline to cover to the top of the brush and send to lab as soon as possible.
If there will be delay of more than two hours, place brush in 5-10 mL saline to rinse. If possible, gently vortex specimen container with brush inside to dislodge an optimal amount of cellular material. Remove brush and add 30 mL of Cytolyt.
NOTE: Various sites may be sampled using separate brushes. If multiple sites are sampled, place each brush into a separate specimen container and indicate appropriate site on each container label.
Specimen Stability Information
| Specimen Type | Temperature |
|---|---|
| Brushing | Refrigerate |
Test Information
Include specimen source, pertinent patient history, clinical information and appropriate ICD-10 code on the request form or electronic order.
If multiple specimens are collected during a bronchial procedure, each specimen must be accompanied by a separate electronic order or requisition form. Label each container with appropriate site, date and time of fixation and fixative type.
Additional special stains may be requested. Add the appropriate comment for the requested special stains (i.e. Fungus/Silver Stain/MS or Iron Stain/FE/Hemosiderin) to the electronic order or requisition form.
Interferences
Specimens not placed in saline or saline/alcohol fixation within two hours of collection may be unacceptable. 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 day | ThinPrep, Light Microscopy |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 88112 | Cytology ThinPrep | |||
| 88312 | Special Stain |
|
||
| 88313 | Special Stain |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 88112 | Cytology ThinPrep | |||
| 88312 | Special Stain |
|
||
| 88313 |
|
|
Special Stain |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Pathology Non-Gyn Request |