Bronchial Washings Cytology

CPT: 88112
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Test Details

Test Includes

Bronchial washings; bronchoalveolar lavage specimens

Use

Establish the presence of primary or metastatic neoplasms; aid in the diagnosis of respiratory infections with herpesvirus, cytomegalovirus, Aspergillus, Coccidioides, Candida, Actinomyces, Cryptococcus, Histoplasma, Blastomyces, Phycomycetes, Pneumocystis carinii, and Strongyloides; aid in the diagnosis of asbestosis

Limitations

Allowing fluid to stand for a prolonged period before processing may cause deterioration and artifact.

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

Bronchial washings or bronchoalveolar lavage (BAL) specimens obtained by physician

Volume

Not less than 1 to 2 mL for washings

Container

50 mL disposable centrifuge tube

Collection

Washings or aspirates collected during the endoscopic examination should be collected and mixed with an equal volume of 50% ethyl alcohol or Saccomanno fixative. Specimens should be properly labeled and delivered immediately to the laboratory. Submit specimens in their original collection containers. (Note: Specimens prepared with fixatives that contain 50% ethyl alcohol, eg, Saccomanno fixative, are not acceptable for microbiology testing.)

Storage Instructions

Refrigerate

Causes for Rejection

Improper labeling; improper fixative; specimen submitted in vial that expired according to manufacturer's label; frozen specimen

Clinical Information

Special Instructions

Include type of specimen and pertinent clinical information (ie, patient's name, age, Social Security number, clinical impression, past diagnoses, radiographic findings, and history of radiation or chemotherapy) on the request form.

Aftercare

Postbronchoscopy sputum for cytology should be collected, as it sometimes yields more diagnostic cells than are obtained during the bronchoscopy.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
009035 Bronchial Washings Cytology 191115 Specimen type: 22633-2
009035 Bronchial Washings Cytology 191152 Source: 22633-2
009035 Bronchial Washings Cytology 191160 Clinician provided ICD9: 52797-8
009035 Bronchial Washings Cytology 191174 Clinician provided ICD10: 52797-8
009035 Bronchial Washings Cytology 191158 ****************************** N/A
009035 Bronchial Washings Cytology 191118 DIAGNOSIS: 22637-3
009035 Bronchial Washings Cytology 191165 Recommendation: 22638-1
009035 Bronchial Washings Cytology 191140 Comment: 22638-1
009035 Bronchial Washings Cytology 191159 ****************************** N/A
009035 Bronchial Washings Cytology 191157 Pathologist provided ICD9: 52797-8
009035 Bronchial Washings Cytology 191175 Pathologist provided ICD10: 52797-8
009035 Bronchial Washings Cytology 191117 Clinical history: 22636-5
009035 Bronchial Washings Cytology 191126 Amended report: N/A
009035 Bronchial Washings Cytology 191127 Addendum: 22639-9
009035 Bronchial Washings Cytology 191147 Diagnosis provided by: N/A
009035 Bronchial Washings Cytology 191119 Signed out by: 19139-5
009035 Bronchial Washings Cytology 191120 Performed by: N/A
009035 Bronchial Washings Cytology 191116 Gross description: 22634-0
009035 Bronchial Washings Cytology 191156 Microscopic description: 22635-7
009035 Bronchial Washings Cytology 191141 Special procedure: N/A
009035 Bronchial Washings Cytology 191179 Previous history: N/A
009035 Bronchial Washings Cytology 191144 QA comment: N/A
009035 Bronchial Washings Cytology 019018 . 11546-9
009035 Bronchial Washings Cytology 000000 NonGyn CPT Code Automation N/A
009035 Bronchial Washings Cytology 191167 Photomicrograph N/A

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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