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Pleural Fluid Cytology

Test Number 009043
Test number copied
CPT 88112
Synonyms
  • Pleural Effusions

Test Details

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.

Result 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.

Use

Establish the presence of primary or metastatic neoplasms; aid in the diagnosis of rheumatoid pleuritis, fungal and parasitic infestation of serous cavities

Special Instructions

Include patient's name, date of birth, sex, Social Security number, previous malignancy, drug therapy, radiation therapy, and all other pertinent clinical information, including history of alcohol abuse, on the request form.

Limitations

Allowing fluid to stand for prolonged period before processing may cause deterioration and artifact. First tapping of fluids of long duration may be degenerated and require a second tap after reaccumulation. Clots may contain diagnostic cells which are unavailable for sampling.

Specimen Requirements

Specimen

Pleural fluid

Volume

50 mL or more

Minimum Volume

More than 5 mL

Container

1200-cc Cardinal Health Guardian™ disposable hard canister or 120-mL BD Vacutainer® sterile urine collection cup with integrated sampling device available from the courier service

Collection Instructions

Label the container with patient's name, hospital number, room number, date, and type of specimen. Deliver immediately to the Cytology Laboratory. If more than a 24-hour delay is anticipated between collection and receipt in the laboratory, please add the following: 1 mL (1000 units) of heparin for each 300 mL of collected fluid. To the entire volume (up to 1 liter) add an equal volume of 50% ethyl alcohol or Saccomanno fixative. (Note: Specimens prepared with fixatives that contain 50% ethyl alcohol, eg, Saccomanno fixative, are not acceptable for microbiology testing.)

Storage Instructions

After hours, place in the laboratory refrigerator.

Patient Preparation

In order to suspend the cells in the fluid, move the patient into several different positions. Perform the paracentesis.

Causes for Rejection

Improper labeling; contamination due to spillage; improper fixation; specimen submitted in vial that expired according to manufacturer's label; frozen specimen

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
009043 Pleural Fluid Cytology 191115 Specimen type: 22633-2
009043 Pleural Fluid Cytology 191152 Source: 22633-2
009043 Pleural Fluid Cytology 191160 Clinician provided ICD9: 52797-8
009043 Pleural Fluid Cytology 191174 Clinician provided ICD10: 52797-8
009043 Pleural Fluid Cytology 191118 DIAGNOSIS: 47526-9
009043 Pleural Fluid Cytology 191165 Recommendation: 22638-1
009043 Pleural Fluid Cytology 191140 Comment: 22638-1
009043 Pleural Fluid Cytology 191157 Pathologist provided ICD9: 52797-8
009043 Pleural Fluid Cytology 191175 Pathologist provided ICD10: 52797-8
009043 Pleural Fluid Cytology 191117 Clinical history: 22636-5
009043 Pleural Fluid Cytology 191126 Amended report: N/A
009043 Pleural Fluid Cytology 191127 Addendum: 22639-9
009043 Pleural Fluid Cytology 191147 Diagnosis provided by: N/A
009043 Pleural Fluid Cytology 191119 Signed out by: 19139-5
009043 Pleural Fluid Cytology 191120 Performed by: N/A
009043 Pleural Fluid Cytology 191116 Gross description: 22634-0
009043 Pleural Fluid Cytology 191156 Microscopic description: 22635-7
009043 Pleural Fluid Cytology 191141 Special procedure: N/A
009043 Pleural Fluid Cytology 191179 Previous history: N/A
009043 Pleural Fluid Cytology 191144 QA comment: N/A
009043 Pleural Fluid Cytology 019018 . 11546-9
009043 Pleural Fluid Cytology 000000 NonGyn CPT Code Automation N/A
009043 Pleural Fluid Cytology 019065 PDF N/A
009043 Pleural Fluid Cytology 191167 Photomicrograph N/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191115
Result Code NameSpecimen type:
UofM
Result LOINC22633-2
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191152
Result Code NameSource:
UofM
Result LOINC22633-2
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191160
Result Code NameClinician provided ICD9:
UofM
Result LOINC52797-8
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191174
Result Code NameClinician provided ICD10:
UofM
Result LOINC52797-8
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191118
Result Code NameDIAGNOSIS:
UofM
Result LOINC47526-9
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191165
Result Code NameRecommendation:
UofM
Result LOINC22638-1
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191140
Result Code NameComment:
UofM
Result LOINC22638-1
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191157
Result Code NamePathologist provided ICD9:
UofM
Result LOINC52797-8
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191175
Result Code NamePathologist provided ICD10:
UofM
Result LOINC52797-8
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191117
Result Code NameClinical history:
UofM
Result LOINC22636-5
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191126
Result Code NameAmended report:
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191127
Result Code NameAddendum:
UofM
Result LOINC22639-9
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191147
Result Code NameDiagnosis provided by:
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191119
Result Code NameSigned out by:
UofM
Result LOINC19139-5
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191120
Result Code NamePerformed by:
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191116
Result Code NameGross description:
UofM
Result LOINC22634-0
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191156
Result Code NameMicroscopic description:
UofM
Result LOINC22635-7
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191141
Result Code NameSpecial procedure:
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191179
Result Code NamePrevious history:
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191144
Result Code NameQA comment:
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code019018
Result Code Name.
UofM
Result LOINC11546-9
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code000000
Result Code NameNonGyn CPT Code Automation
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code019065
Result Code NamePDF
UofM
Result LOINCN/A
Order Code009043
Order Code NamePleural Fluid Cytology
Order Loinc
Result Code191167
Result Code NamePhotomicrograph
UofM
Result LOINCN/A