Find Locations
For hours, walk-ins and appointments.Test Includes
Bronchial washings; bronchoalveolar lavage specimens
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.
Expected Turnaround Time
2 - 6 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
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
Test Details
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.
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 | 50007-4 | 191115 | Specimen type: | 22633-2 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191152 | Source: | 22633-2 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191160 | Clinician provided ICD9: | 52797-8 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191174 | Clinician provided ICD10: | 52797-8 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191118 | DIAGNOSIS: | 47526-9 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191165 | Recommendation: | 22638-1 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191140 | Comment: | 22638-1 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191157 | Pathologist provided ICD9: | 52797-8 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191175 | Pathologist provided ICD10: | 52797-8 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191117 | Clinical history: | 22636-5 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191126 | Amended report: | N/A | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191127 | Addendum: | 22639-9 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191147 | Diagnosis provided by: | N/A | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191119 | Signed out by: | 19139-5 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191120 | Performed by: | N/A | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191116 | Gross description: | 22634-0 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191156 | Microscopic description: | 22635-7 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191141 | Special procedure: | N/A | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191179 | Previous history: | N/A | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 191144 | QA comment: | N/A | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 019018 | . | 11546-9 | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 000000 | NonGyn CPT Code Automation | N/A | |
| 009035 | Bronchial Washings Cytology | 50007-4 | 019065 | N/A | ||
| 009035 | Bronchial Washings Cytology | 50007-4 | 191167 | Photomicrograph | N/A |
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The LOINC® codes are copyright © 1994-2021, 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