NOTE: Slides and containers must be labeled with patient's name and biopsy site.
Requisition must accompany specimen and include all pertinent data (history of malignancy, chemotherapy, radiation therapy, clinical/radiographic diagnosis).
| Reporting Name: | Surg Path, Level I, Gross Exam |
| Published Name: | Surgical Pathology, Level I, Gross Exam |
| Specimen Required: | Tissue in 10% NBF |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88300 |
| Reporting Name: | Surg Path, Level II, Wet Tissue |
| Published Name: | Surgical Pathology, Level II, Gross and Microscopic Exam, Wet Tissue |
| Specimen Required: | Tissue in 10% NBF |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88302 |
| Reporting Name: | Surg Path, Level III, Wet Tissue |
| Published Name: | Surgical Pathology, Level III, Gross and Microscopic Exam, Wet Tissue |
| Specimen Required: | Tissue in 10% NBF |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88304 |
| Reporting Name: | Surg Path, Level IV, Wet Tissue |
| Published Name: | Surgical Pathology, Level IV, Gross and Microscopic Exam, Wet Tissue |
| Specimen Required: | Tissue in 10% NBF |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88305 |
| Reporting Name: | Surg Path, Level V, Wet Tissue |
| Published Name: | Surgical Pathology, Level V, Gross and Microscopic Exam, Wet Tissue |
| Specimen Required: | Tissue in 10% NBF |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88307 |
| Reporting Name: | Surg Path, Level VI, Wet Tissue |
| Published Name: | Surgical Pathology, Level VI, Gross and Microscopic Exam, Wet Tissue |
| Specimen Required: | Tissue in 10% NBF |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88309 |

| Reporting Name: | Surg Path, Gross Consultation |
| Published Name: | Surgical Pathology, Gross Consultation |
| Specimen Required: | Fresh Tissue |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday, upon arrival |
| CPT Code: | 88329 |
| Reporting Name: | Surg Path, Frozen Section |
| Published Name: | Surgical Pathology, Frozen Section |
| Specimen Required: | Fresh Tissue |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday, upon arrival |
| CPT Code: | 88331 |
| Reporting Name: | Surg Path, Consultation |
| Published Name: | Surgical Pathology, Consultation |
| Specimen Required: | All original slides and copy of report. Any appropriate additional stain(s) will be performed & charged separately. |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88325 |
| Reporting Name: | Cyto, Consultation |
| Published Name: | Cytology, Consultation |
| Specimen Required: | All original slides and copy of report |
| Reference Values: | Interpretive report/negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88325 |
| Reporting Name: | Estrogen Receptor, Immunostain |
| Published Name: | Estrogen Receptor, Immunoperoxidase Stain |
| Specimen Required: | Submit 1 paraffin-embedded tissue block and accompanying pathology report |
| Reference Values: | Reported as percentage of tumor cells positive (negative is < 1%) |
| Days/Times Performed: | Monday-Friday |
| CPT Code: | 88361 |
| Reporting Name: | Progesterone Receptor, Immunostain |
| Published Name: | Progesterone Receptor, Immunostain |
| Specimen Required: | Submit 1 paraffin-embedded tissue block and accompanying pathology report |
| Reference Values: | Reported as percentage of tumor cells positive (negative is < 1%) |
| Days/Times Performed: | Monday-Friday |
| CPT Code: | 88361 |
| Reporting Name: | Her2neu, Immunostain |
| Published Name: | Her2neu (4B5), Immunoperoxidase Stain |
| Method Name: | FDA-approved Hercep Test Immunoperoxidase Stain |
| Specimen Required: | Submit 1 paraffin-embedded tissue block and accompanying pathology report. Her2neu by FISH reflexively performed for those cases that score equivocal (2+) by immunoperoxidase stain |
| Reference Values: | Reported as negative (0,1+), equivocal (2+), strongly positive (3+) |
| Days/Times Performed: | Monday-Friday |
| CPT Code: | 88361 |

| Reporting Name: | Immunostain |
| Published Name: | Immunoperoxidase Stain |
| Specimen Required: | Submit 1 paraffin-embedded tissue block and accompanying pathology report. |
| Reference Values: | Reported as positive or negative |
| Days/Times Performed: | Monday-Friday |
| CPT Code: | 88342 |
| Reporting Name: | Cyto, Nipple Discharge |
| Published Name: | Cytology, Nipple Discharge |
| Specimen Required: | Smear expressed fluid directly onto a glass slide, then immediately fix in 95% EtOH. |
| Reference Values: | Interpretive report/negative for malignant cells. |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88173 |
| Reporting Name: | Cyto, Breast Cyst |
| Published Name: | Cytology, Breast Cyst |
| Specimen Required: | 1.0 mL (minimum) in a vial containing 20mL 95%EtOH. Also, rinse the syringe to flush any remaining specimen |
| Reference Values: | Interpretive report/negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88112 |
| Reporting Name: | Cyto, Body Fluid |
| Published Name: | Cytology, Body Fluid |
| Specimen Required: | 1. 15mL fluid in a heparinized container (25 units of heparin per 1.0mL specimen). Transport to laboratory within 24 hrs. If more than 24 hrs., refrigerate. OR 2. Add 5mL fluid to a vial containing 30mL 95% EtOH. |
| Reference Values: | Interpretive report/negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | Varies |
| Reporting Name: | Cyto, Joint Fluid |
| Published Name: | Cytology, Joint Fluid |
| Specimen Required: | 1. Air-dried smears OR 2. Unfixed specimen (NOTE: Analysis can be performed on as little as a few drops of specimen when collection is technically challenging. Ideally, 0.5mL should be submitted for cytology, including crystal analysis) |
| Reference Values: | Negative for malignant cells, inflammation, crystals |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88173 |
| Reporting Name: | Cyto, Bronchoalveolar Lavage |
| Published Name: | Cytology, Bronchoalveolar Lavage |
| Specimen Required: | 1. 1.0 to 2.0mL washing in a vial containing 20mL 95% EtOH AND 2. Fresh (unfixed) specimen |
| Reference Values: | Negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | Varies |
| Reporting Name: | Cyto, Bronchoscopic Brushing |
| Published Name: | Cytology, Bronchoscopic Brushing |
| Specimen Required: | Collect materials onto brush. Gently roll brush over slide. Immediately fix slide in 95% EtOH or air-dry. Clip brush into vial containing 30mL 95% EtOH. |
| Reference Values: | Negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | Varies |
| Reporting Name: | Cyto, FNA Biopsy |
| Published Name: | Cytology, Fine Needle Aspiration Biopsy |
| Method: | Includes biopsy from any body site that can be aspirated with a fine needle (22 gauge or smaller) |
| Specimen Required: | 1. Smears immediately fixed in 95% EtOH AND 2. Air-dried smears AND 3. Needle rinse (syringe flushed with 95% EtOH following biopsy OR 10% NBF if breast) |
| Reference Values: | Negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88173 |
| Reporting Name: | Cyto, GI Tract |
| Published Name: | Cytology, Gastrointestinal Tract |
| Specimen Required: | For Brushings: Collect material onto brush. Gently roll brush over slide. Immediately fix slide in 95% EtOH of air-dry. Clip brush into vial containing 95% EtOH. For Washings: 5.0mL (minimum) saline washings of the lesion in a vial containing 30mL 95% EtOH. |
| Reference Values: | Negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88108 |
| Reporting Name: | Cyto, Urine |
| Published Name: | Cytology, Urine |
| Specimen Required: | Collect 30mL random (NOT first morning) midstream urine and fix with 1/2 volume 95% EtOH. Do not freeze specimen or fix in carbowax. |
| Reference Values: | Negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88112 |
| Aliases: | Bladder washing, kidney drainage, ureteral washing, urethra washing |

| Reporting Name: | Cyto, Spinal Fluid |
| Published Name: | Cytology, Spinal Fluid |
| Specimen Required: | 5.0mL (1.0mL minimum) spinal fluid in a vial containing an equal volume of 95% EtOH. NOTE: Recommend submitting the LAST tube collected for cytology in order to avoid blood contamination from the tap. |
| Reference Values: | Negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88108 |
| Reporting Name: | Cyto, Sputum |
| Published Name: | Cytology, Sputum |
| Specimen Required: | Instruct a patient to cough deeply and expectorate sputum (not saliva) into a vial containing 30mL 95% EtOH. NOTE: Recommend one early morning specimen collected on 3 consecutive days, sent in separate containers (do NOT pool specimens) |
| Reference Values: | Negative for malignant cells |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88108 |
| Reporting Name: | Cyto, Scraping |
| Published Name: | Cytology, Tzanck Smear |
| Specimen Required: | 1. Remove the crust or exudates from the lesion, scrape the base, smear onto a glass slide, and immediately fix in 95% EtOH OR 2. Sterily unroof an intact vesicular fluid and loop contents onto a glass slide, and immediately fix in 95% EtOH. |
| Reference Values: | Interpretive report |
| Days/Times Performed: | Monday-Friday 8-5 |
| CPT Code: | 88173 |