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22541 Cytology, Brushings, Miscellaneous

Cytology, Brushings, Miscellaneous
Test Code: Pathology Non-Gyn Request
Synonyms/Keywords
​​Esophageal Brushings, Gastric Brushings, Genitourinary Tract Brushings, Colorectal Brush​
Useful For
​Examination of brushing specimens for the purpose of identifying cellular changes associated with inflammatory, benign, pre-malignant and malignant conditions.
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​		 ​ ​ ​ ​
Collection Processing Instructions
PREFERRED:  After brushing sample is obtained and retracted into the sheath, 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.
Acceptable Body Sites
Esophagus, Stomach, Pancreas, Kidney, Ureter, Rectal​
Specimen Stability Information
Specimen Type Temperature
Brushing​ Refrigerated
Interference
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).​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday-Friday​ 2 day​s
 ThinPrep, Light Microscopy​
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 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 stain (i.e. Fungus/Silver Stain/MS or Iron Stain/FE/Hemosiderin) to the electronic order or requisition form.​
Reference Range Information
Performing Location Reference Range
Marshfield ​ Interpretative Report​
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
88112​ ​ ​ Cytology ThinPrep​ ​
88312​ ​

 ​ Special Stain​ ​
​​88313
​​​Special Stain
​
Synonyms/Keywords
​​Esophageal Brushings, Gastric Brushings, Genitourinary Tract Brushings, Colorectal Brush​
Ordering Applications
Ordering Application Description
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
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​		 ​ ​ ​ ​
Collection Processing
PREFERRED:  After brushing sample is obtained and retracted into the sheath, 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.
Acceptable Body Sites
Esophagus, Stomach, Pancreas, Kidney, Ureter, Rectal​
Specimen Stability Information
Specimen Type Temperature
Brushing​ Refrigerated
Interference
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).​
Useful For
​Examination of brushing specimens for the purpose of identifying cellular changes associated with inflammatory, benign, pre-malignant and malignant conditions.
Reference Range Information
Performing Location Reference Range
Marshfield ​ Interpretative Report​
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday-Friday​ 2 day​s
 ThinPrep, Light Microscopy​
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
88112​ ​ ​ Cytology ThinPrep​ ​
88312​ ​

 ​ Special Stain​ ​
​​88313
​​​Special Stain
​
For most current information refer to the Marshfield Laboratory online reference manual.