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 |