Bronchial Brushings

CPT: 88104
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Test Details

Synonyms

  • Brushings Cytology

Use

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

Limitations

Allowing smears and brushes to air dry before they are fixed will render them unsatisfactory for cytologic evaluation.

Methodology

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.

Specimen Requirements

Specimen

Brush from lesion area

Volume

Minimum of two slides

Container

Glass slides or centrifuge tubes containing brushes

Collection

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.

Storage Instructions

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

Clinical Information

Special Instructions

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.

LOINC® Map

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 191152 Source: 22633-2
009332 Bronchial Brushings 191160 Clinician provided ICD9: 52797-8
009332 Bronchial Brushings 191174 Clinician provided ICD10: 52797-8
009332 Bronchial Brushings 191158 ****************************** N/A
009332 Bronchial Brushings 191118 DIAGNOSIS: 22637-3
009332 Bronchial Brushings 191165 Recommendation: 22638-1
009332 Bronchial Brushings 191140 Comment: 22638-1
009332 Bronchial Brushings 191159 ****************************** N/A
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 191127 Addendum: 22639-9
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 019018 . 11546-9
009332 Bronchial Brushings 000000 NonGyn CPT Code Automation N/A
009332 Bronchial Brushings 191167 Photomicrograph N/A

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CPT Statement/Profile Statement

The LOINC® codes are copyright © 1994-2017, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf