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- Brushings Cytology
Establish the presence of primary or metastatic neoplasms; aid in the diagnosis of certain infections with herpesvirus, cytomegalovirus, Aspergillus, Coccidioides, Candida, Actinomyces, Cryptococcus, Histoplasma, Blastomyces, Phycomycetes, Pneumocystis carinii, and Strongyloides; aid in the diagnosis of asbestosis
Allowing smears and brushes to air dry before they are fixed will render them unsatisfactory for cytologic evaluation.
The fluid will be centrifuged, supernatant poured off, and diagnostic cells aspirated from the remaining material. Filters, monolayers, and/or cytospins will be made along with a cell block, if applicable. Microscopic examination is performed.
Brush from lesion area
Minimum of two slides
Roll brush over glass slide to cover the area of a dime and fix immediately with spray fixative or fix in 95% ethyl alcohol. Label bottle with exact body site, patient's name, hospital number, room number and date. Using a graphite pencil, label frosted slide with patient's name. If more than one slide is used, separate them with a paper clip. Disposable bronchial brushes should be submitted in saline with sheath removed and sent to the laboratory immediately.
Smears and brushes should be placed in 95% ethyl alcohol; slides may be spray fixed.
Causes for Rejection
Improper labeling; improper fixation; air-drying artifact; specimen submitted in vial that expired according to manufacturer's label
Specify the site brushed and include type of specimen and pertinent clinical data (ie, patient's name, age, patient's Social Security number, clinical impression, past diagnoses, bronchoscopic and radiographic findings, admitting diagnosis, history of carcinoma, and history of radiation or chemotherapy) on the request form.
|Order Code||Order Code Name||Order Loinc||Result Code||Result Code Name||UofM||Result LOINC|
|009332||Bronchial Brushings||191115||Specimen type:||22633-2|
|009332||Bronchial Brushings||191160||Clinician provided ICD9:||52797-8|
|009332||Bronchial Brushings||191174||Clinician provided ICD10:||52797-8|
|009332||Bronchial Brushings||191157||Pathologist provided ICD9:||52797-8|
|009332||Bronchial Brushings||191175||Pathologist provided ICD10:||52797-8|
|009332||Bronchial Brushings||191117||Clinical history:||22636-5|
|009332||Bronchial Brushings||191126||Amended report:||N/A|
|009332||Bronchial Brushings||191147||Diagnosis provided by:||N/A|
|009332||Bronchial Brushings||191119||Signed out by:||19139-5|
|009332||Bronchial Brushings||191120||Performed by:||N/A|
|009332||Bronchial Brushings||191116||Gross description:||22634-0|
|009332||Bronchial Brushings||191156||Microscopic description:||22635-7|
|009332||Bronchial Brushings||191141||Special procedure:||N/A|
|009332||Bronchial Brushings||191179||Previous history:||N/A|
|009332||Bronchial Brushings||191144||QA comment:||N/A|
|009332||Bronchial Brushings||000000||NonGyn CPT Code Automation||N/A|