Test Directory

Alphabetic Test Listing

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

B

B-Cell Enumeration

Methodology: Flow Cytometry (Quantitative)
Markers include CD19 & CD20 to determine the percentage and the absolute count of circulating B-Cells in the peripheral circulation.
Specimen Requirement: Peripheral Blood: 5 mL preferred. Please provide a recent CBC & face sheet with insurance information.
Storage & Transport: Use cold pack for transport making sure cold pack is not in direct contact with specimen. Samples stable for 48 hours post collection.
Performed: M-F
Report Time: 1-2  days after receipt in the laboratory
CPT Codes 86356 x 2

B-Cell Subset Analysis

Methodology: Flow Cytometry (Quantitative)
Specimen Requirement: Peripheral Blood: 5 mL EDTA preferred. Please provide a recent CBC report and a face sheet including insurance information. Label specimen with patient’s name and a second unique identifier. Unlabeled specimens will be rejected.
Storage & Transport: Transport immediately. Use a cold pack for transportation, (thawed in the winter and frozen in the summer) making sure cold pack is not in direct contact with specimen. This will ensure specimen integrity for our seasonal changes.
Performed: M-F
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 86355 x 1, 86356 x 7

Bronchioalveolar Lavage for Lipids

Methodology:  Oil Red O Stain
Specimen Requirement: Fresh BAL specimen. Label with patient’s name and a second unique identifier. Do not add preservative. Bring to the laboratory ASAP.  Unlabeled specimens will be rejected.
Storage & Transport: Ambient temperature
Performed: Monday-Friday
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 88313

 C

Chlamydia/Neisseria (CT/NG) Screening

Methodology: Nucleic Acid Amplification
Specimen Requirement: Cervical & Endocervical specimen collected with brush and spatula or broom rinsed in the ThinPrep®Collection Vial.  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected. Specimens greater than 21 days old will be rejected.NOTE: Test must be ordered at the time specimen is submitted.  Cannot be added after ThinPrep® Pap vial has been processed for GYN Cytology.
Storage & Transport: Ambient temperature in ThinPrep®Collection Vial
Performed: Tuesday, Thursday
Report Time: 1-8 days after testing
CPT Codes 87491, 87591

 

E

F

Fetal Hemoglobin

Methodology: Flow Cytometry
Specimen Requirement: 3 mL  whole blood collected in a lavender (EDTA). (Minimum sample: 0.5 mL).  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Transport immediately.  If refrigerated, specimen must be analyzed within 72 hours.  Ambient specimens must be analyzed within 24 hours.  Older specimens will be rejected.
Performed: As ordered
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 86356

 

FNA (Fine Needle Aspirate)

Methodology: Thin Prep Papanicoulou stain; Direct Slide Wright-Giemsa stain; microscopic exam
Specimen Requirement: Aspirate in Cytolyt.  Air-dried smears in slide folder.   Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Ambient  temperature
Performed: Monday-Friday
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 88173

 

H

Her-2 by D-ISH

Methodology: Dual in-situ hybridization
Specimen Requirement: Formalin-fixed, paraffin embedded tissue blocks that contain tissue representative of tumor. Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Ambient temperature (20- 25ºC).
Performed: As needed
Report Time: 1-8 days after receipt in the laboratory
CPT Codes 88368 x 2

 

Hormone Evaluation  (Note: Will not be reported exclusive of a ThinPrep®Pap)

Methodology: Microscopic examination
SpecimenRequirement: A vaginal specimen is required for hormone evaluation.If the patient has no cervix, the hormone evaluation will be performed on a vaginal specimen in ThinPrep®vial or on a slide.If the patient has a cervix, and you are requesting a ThinPrep®  Pap, place the cervical specimen in the ThinPrep®vial and place the vaginal specimen on a slide. Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage &Transport: N/A
Performed: Monday-Friday
Report Time: 3-5 working days after receipt in the laboratory
CPT Codes 88155

 

HPV (Human Papillomavirus) RNA Probe (High Risk Probe)

Methodology: Nucleic Acid Amplification
Specimen Requirement: Cervical & Endocervical specimen collected with brush and spatula or broom rinsed in the ThinPrep®Collection Vial.  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected. Specimens greater than 21 days old will be rejected.
Storage & Transport: Ambient temperature in ThinPrep®Collection Vial
Performed: Tuesday, Thursday
Report Time: 1-8 days after request or reflex from Thin Prep
CPT Codes 87621

 

HPV 16/18 Genotyping (on Head, Neck Squamous Cell Carcinomas; ThinPrep® Paps)

Methodology: DNA Extraction; PCR (Tissue), Nucleic Acid Amplification (ThinPrep Vial)
Specimen Requirement: Three sections (45 um thick) paraffin-embedded tissue, plus two Hematoxylin & Eosin (H&E) slides.  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.Cervical & Endocervical specimen collected with brush and spatula or broom rinsed in the ThinPrep®Collection Vial.  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.  Specimens greater than 21 days old will be rejected.
Storage & Transport: ThinPrep®: Ambient temperature in ThinPrep®Collection Vial;Tissue: Ambient temperature
Performed: As needed
Report Time: 1-5 days after  receipt in the laboratory
CPT Codes Tissue: 87621 x2, G0452 or 87621-26; ThinPrep® 87621 x2

 

J

K

L

Leukemia/Lymphoma Phenotyping

Methodology: Flow Cytometry (Qualitative)
Specimen Requirement: 5 mL  whole blood or 1mL bone marrow collected in an EDTA (lavender top tube) .   ACD (yellow top) or sodium heparin (green top) specimens are acceptable, if the EDTA tube is not available.   CSF, peritoneal, or other fluid may be submitted without any anticoagulant or RMPI.   Core biopsy or solid tumor (fresh tissue) should be submitted in equal amounts of RMPI transport media. Send at  least one peripheral smear or bone barrow aspirate smear; and CBC results.  Label all specimen’s with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Ambient temperature (20- 25ºC).  Sample must be received within 24 hours of collection or meet viability requirements.  Samples that are clotted, refrigerated, or frozen are unacceptable and will be rejected.
Performed: As ordered
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 88184 (1st marker), 88185 each add. marker,  Interp. 88187, 88188, or 88189

 

M

Muscle or Nerve Biopsy

Methodology: H&E stain; microscopic examination
Specimen Requirement: Specimen is processed at YPI for send out to a reference laboratory.  Tissue in Formalin and\or 2.5% gluteraldehyde.  Call the laboratory prior to collection for special instructions.  Use a leak-proof container.  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Ambient temperature
Performed: Monday—Friday
Report Time: 1-2 days after receipt in the laboratory
CPT Codes varies

 

N

NON GYN CYTOLOGY (Urine, Sputum, CSF, Pleural, Peritoneal, Breast Fluids)

Methodology: Cytyc liquid formula;  Papanicolaou stain; microscopic examination; Direct Smear Interpretation
Specimen Requirement: Collect urine or other body fluid aseptically; add10-25 mL to Cytolyte® solution, to achieve a 1:1 ratio of Cytolyte® to specimen. If Cytolyte® cannot be added to specimen immediately, store at 2-8°C until Cytolyte® is added.  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.  Alternatively, specimen may be submitted on a glass slide which has been submersed in isopropanol.
Storage & Transport: Ambient temperature in Cytolyte® Collection Vial or isopropanol.
Performed: Monday-Friday
Report Time: 3-5 working days after receipt in the laboratory
CPT Codes 88104 or 88112, as applicable

 

P

Paroxysmal Nocturnal Hemoglobin (PNH)

Methodology: Flow Cytometry
Specimen Requirement: 5 mL  whole blood collected in a lavender (EDTA ) or heparin.  (Min. 3.0 mL)   Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Stable for  24-72 hours at ambient or refrigerated temperature.  Sample must be delivered and analyzed within 72 hours of collection.  Specimens that are clotted, frozen, or more than 72 hours old are unacceptable and will be rejected.
Performed: As ordered
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 88184, 88185 x 8, 88188

Peripheral Smear Review

Methodology: Wright’s stain; microscopic examination
Specimen Requirement: 2 unstained peripheral smears labeled with patient name and a second identifier, plus a copy of recent CBC results.  Unlabeled specimens will be rejected.
Storage & Transport: Ambient temperature
Performed: Mon-Friday
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 85060

 

Platelet-Associated Antibodies (IgG, IgM)

Methodology: Flow Cytometry
Specimen Requirement: 5 mL  whole blood collected in a lavender (EDTA).  (Min. 3.0 mL)   Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Stable for 48 hours at ambient temperature.  Specimens that are clotted, frozen, or more than 48 hours old are unacceptable and will be rejected.
Performed: As ordered
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 86023 x 2

 

R

Reticulated Platelet Count

Methodology: Flow Cytometry
Specimen Requirement: 5 mL  whole blood collected in a lavender (EDTA).  (Min. 3.0 mL)  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Stable for 48 hours if refrigerated (2-8ºC).  Samples submitted at ambient temperature are stable for 24 hours.  Samples that are clotted, frozen, or >48 hours old and not refrigerated are unacceptable and will be rejected.
Performed: As ordered
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 85055

 

S

Stem Cell Enumeration

Methodology: Flow Cytometry
Specimen Requirement: 5 mL whole blood or pheresis  sample collected in a  lavender tube (EDTA). (Min. 500 mL)  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Ambient temperature (20- 25ºC).  Sample must be received within 24 hours of collection.  Samples that are clotted, refrigerated, or frozen are unacceptable and will be rejected.
Performed: As ordered
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 86367

 

T

T-Cell NK Cell Subset Analysis

Methodology: Flow Cytometry (Quantitative)
Specimen Requirement: Peripheral Blood: 5 mL EDTA preferred. Please provide a recent CBC report and a face sheet including insurance information. Label specimen with patient’s name and a second unique identifier. Unlabeled specimens will be rejected.
Storage & Transport: Transport immediately. Use a cold pack for transportation, (thawed in the winter and frozen in the summer) making sure cold pack is not in direct contact with specimen. This will ensure specimen integrity for our seasonal changes.
Performed: Monday-Friday
Report Time: 1-2 working days after receipt in the laboratory
CPT Codes 86357, 86359, 86360

 

ThinPrep®Pap Test™

Methodology: Cytyc liquid formula; Papanicolaou stain; microscopic examination utilizing ThinPrep® Imaging System with Dual Review. *If abnormal cells are observed, the smear will be reviewed/interpreted by a Pathologist at an additional charge.
Specimen Requirement: Cervical & Endocervical specimen collected with brush and spatula or broom rinsed in the ThinPrep®Collection Vial. Label specimen with patient’s name and a second unique identifier. Unlabeled specimens will be rejected. Specimens greater than 21 days old will be rejected.
Storage & Transport: Ambient temperature in ThinPrep®Collection Vial.
Performed: Monday-Friday
Report Time: 1-2 working days after receipt in the laboratory
CPT Codes 88175

 

Thrombocytopenia Profile (Platelet Associated Antibodies, Reticulated Platelet)

Methodology: Flow Cytometry
Specimen Requirement: 5 mL  whole blood collected in a lavender (EDTA).  (Min. 3.0 mL)  Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.
Storage & Transport: Stable for 48 hours at ambient temperature.  Specimens that are clotted, frozen, or more than 48 hours old are unacceptable and will be rejected.
Performed: As ordered
Report Time: 1-2 days after receipt in the laboratory
CPT Codes 85055, 86023 x 2

 

Tissue Specimen for Surgical Pathology

Methodology: H&E  stain; microscopic examination
Specimen Requirement: Tissue in formalin.   Use a leak-proof container.   Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected.  For breast specimens, please indicate the time specimen was placed in formalin.  For muscle, renal, or nerve biopsies, please contact the histology laboratory for collection and transport instructions.
Storage & Transport: Ambient temperature
Performed: Monday-Friday
Report Time: 1-2 days after receipt in the laboratory
CPT Codes varies

 

Trichomonas vaginalis

Methodology: Nucleic Acid Amplification
Specimen Requirement: Cervical & Endocervical specimen collected with brush and spatula or broom rinsed in the ThinPrep® Collection Vial. Label specimen with patient’s name and a second unique identifier.  Unlabeled specimens will be rejected. Specimens greater than 21 days old will be rejected. NOTE: Test must be ordered at the time specimen is submitted. Cannot be added after ThinPrep®  Pap vial has been processed for GYN Cytology.
Storage & Transport: Ambient temperature in ThinPrep®Collection Vial
Performed: Tuesday, Thursday
Report Time: 2-4 days after receipt in laboratory
CPT Code 87798