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Test Code SURG Surgical Pathology, Gross and Micro Exam

Useful For

Level of complexity is determined during gross and microscopic examination.

Synonyms/Keywords

Gross and micro exam, Tissue Report, Anatomic Pathology Tissue Report, Histology

Specimen Requirements

Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Tissue Any clean and unused specimen container Clean, sealed biohazard bag      

Acceptable Specimen Types

Tissue

Collection/Processing Instructions

Tissue in 10% Neutral Buffered Formalin which is available from the Histology Department. Adequately label the tissue vial and submit with a completed histology request form containing patient history, requesting physician, collection date, and tissue source. Electronic orders are accepted, but a hard copy must be sent with the specimen.  

 

Unlabeled specimens, specimens submitted with an incomplete requisition form or electronic order without hard copy, mismatched tissue and requisition information or specimens for which correct patient identification is questionable are unacceptable.  

 

Level of complexity (Level I through VI, as defined by CPT code book) is determined during examination.

Specimen Stability Information

Specimen Type Temperature Time
Tissue Room Temperature/Ambient Indefinite

Rejection Criteria

Unlabeled
Mismatched Tissue and Requisition Information
Electronic Orders Without Hard Copy Accompanying Specimen
Incomplete Requisition Form
Specimens For Which Correct Patient Identification Is Questionable

Reference Range Information

Performing Location Reference Range
Marshfield Interpretive Report

Marshfield Labs Performing Department

Marshfield Labs Histology

Performing Information

Performing Location Day(s) Test Performed Analytical Time
Marshfield Monday - Friday 3 days

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
88300     Level I  
88302     Level II  
88304     Level III  
88305     Level IV  
88307     Level V  
88309     Level VI  

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
88300     Level I  
88302     Level II  
88304     Level III  
88305     Level IV  
88307     Level V  
88309     Level VI  

Ordering Applications

Ordering Application Description
Cerner Pathology Tissue Request