Home
HelpTest Code Path Non-Gyn Bronch Wsh Cytology, Bronchial Washings
Useful For
This test is utilized to evaluate the status of the bronchioles and alveoli beyond the reach of the bronchoscope, aiding in the diagnosis and localization of lung tumors and identification of the causative agents of pulmonary infections.
Samples are obtained during a bronchoscopy procedure by instilling normal saline into the selected bronchus and reaspirating the fluid. This process may be performed several times to one area or to different areas.
Synonyms/Keywords
Bronchial Wash, Bronchial Lavage
Specimen Requirements
| Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|
|
Washing or Lavage |
Sage Container, Centrifuge Tube |
Acceptable Body Sites
Bronchial, Left Upper Lobe (LUL) Bronchial, Left Lower Lobe (LLL) Bronchial, Right Upper Lobe (RUL) Bronchial, Right Middle Lobe (RML) Bronchial, Right Lower Lobe (RLL) Bronchial, Lingula
Collection/Processing Instructions
Submission of specimen volumes greater than 35 mL is requested; optimal volume for routine cytological testing is 10 mL.
PREFERRED: After collection, send the fresh specimen in the appropriate container to the lab. Lab personnel must fix specimen within 2 hrs. of collection by adding 30 mL of Cytolyt.
ALTERNATE: If there will be a delay of more than two hours, fix specimen by adding 30 mL of Cytolyt.
NOTE: If a culture is also requested on the same specimen, collect specimen in a sage container without the alcohol fixative (fresh specimen). Specimen must be sent to Microbiology for culturing BEFORE adding the alcohol fixative.
Specimen Stability Information
| Specimen Type | Temperature |
|---|---|
| Washing | Refrigerate |
| Lavage | Refrigerate |
Test Information
Include specimen source, pertinent patient history and clinical information and appropriate ICD-10 code on the electronic order or test requisition form.
If multiple specimens are collected during a bronchial procedure, label each container with the 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, Iron Stain/FE/Hemosiderin, Lipid Stain/Oil Red O/ORO, AFB) to the electronic order comments section or write on the test requisition form.
Interferences
Specimens not fixed within two hours of collection may not be acceptable. 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 | ThinPrep, Light Microscopy |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 88112 | Cytology ThinPrep | |||
| 88305 | Cell Block | |||
| 88312 |
|
Special Stain | ||
| 88313 | Special Stain |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 88112 | Cytology ThinPrep | |||
| 88305 | Cell Block | |||
| 88312 |
|
Special Stain | ||
| 88313 | Special Stain |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Pathology Non-Gyn Request |