Test Details
Methodology
Direct smears or slides prepared using the Saccomanno method. Pap stained: microscopic examination is performed.
Result Turnaround Time
Within 1 day
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 respiratory infections with herpesvirus, Cryptococcus, Coccidioides, Histoplasma, Blastomyces, Phycomycetes, Strongyloides, Echinococcus, Paragonimus, and asbestosis.
Special Instructions
Include patient's name, date of birth, sex, Social Security number, previous malignancy, drug therapy, radiation therapy, exposure to carcinogen, and all other pertinent clinical information on the request form. For induced sputa, contact Inhalation Therapy. Include admitting diagnosis and pertinent clinical history (ie, age, clinical diagnosis, exposure to carcinogen) on the request form.
Limitations
If pulmonary macrophages are not identified, specimen will be reported as unsatisfactory for adequate evaluation.
Specimen Requirements
Specimen
Expectorated sputum, not saliva or nasal aspirates
Volume
30 mL
Minimum Volume
3-5 mL
Container
Plastic sputum container with Saccomanno fixative added
Collection Instructions
Patient should perform oral hygiene and collect first morning sputum directly into Saccomanno or 50% ethyl alcohol fixative in container for three consecutive mornings. (Note: Specimens prepared with fixatives that contain 50% ethyl alcohol, eg, Saccomanno fixative, are not acceptable for microbiology testing.) Close container and shake vigorously after collection.
Storage Instructions
Maintain specimen at room temperature.
Patient Preparation
Instruct the patient to thoroughly cleanse mouth before collection.
Causes for Rejection
Improper labeling; specimen without fixative; saliva or nasal aspirates; frozen specimen
LOINC® Map
Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
---|---|---|---|---|---|---|
009076 | Sputum Cytology | 191115 | Specimen type: | 22633-2 | ||
009076 | Sputum Cytology | 191152 | Source: | 22633-2 | ||
009076 | Sputum Cytology | 191160 | Clinician provided ICD9: | 52797-8 | ||
009076 | Sputum Cytology | 191174 | Clinician provided ICD10: | 52797-8 | ||
009076 | Sputum Cytology | 191118 | DIAGNOSIS: | 47526-9 | ||
009076 | Sputum Cytology | 191165 | Recommendation: | 22638-1 | ||
009076 | Sputum Cytology | 191140 | Comment: | 22638-1 | ||
009076 | Sputum Cytology | 191157 | Pathologist provided ICD9: | 52797-8 | ||
009076 | Sputum Cytology | 191175 | Pathologist provided ICD10: | 52797-8 | ||
009076 | Sputum Cytology | 191117 | Clinical history: | 22636-5 | ||
009076 | Sputum Cytology | 191126 | Amended report: | N/A | ||
009076 | Sputum Cytology | 191127 | Addendum: | 22639-9 | ||
009076 | Sputum Cytology | 191147 | Diagnosis provided by: | N/A | ||
009076 | Sputum Cytology | 191119 | Signed out by: | 19139-5 | ||
009076 | Sputum Cytology | 191120 | Performed by: | N/A | ||
009076 | Sputum Cytology | 191116 | Gross description: | 22634-0 | ||
009076 | Sputum Cytology | 191156 | Microscopic description: | 22635-7 | ||
009076 | Sputum Cytology | 191141 | Special procedure: | N/A | ||
009076 | Sputum Cytology | 191179 | Previous history: | N/A | ||
009076 | Sputum Cytology | 191144 | QA comment: | N/A | ||
009076 | Sputum Cytology | 019018 | . | 11546-9 | ||
009076 | Sputum Cytology | 000000 | NonGyn CPT Code Automation | N/A | ||
009076 | Sputum Cytology | 019065 | N/A | |||
009076 | Sputum Cytology | 191167 | Photomicrograph | N/A | ||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191115 | |||||
Result Code Name | Specimen type: | |||||
UofM | ||||||
Result LOINC | 22633-2 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191152 | |||||
Result Code Name | Source: | |||||
UofM | ||||||
Result LOINC | 22633-2 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191160 | |||||
Result Code Name | Clinician provided ICD9: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191174 | |||||
Result Code Name | Clinician provided ICD10: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191118 | |||||
Result Code Name | DIAGNOSIS: | |||||
UofM | ||||||
Result LOINC | 47526-9 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191165 | |||||
Result Code Name | Recommendation: | |||||
UofM | ||||||
Result LOINC | 22638-1 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191140 | |||||
Result Code Name | Comment: | |||||
UofM | ||||||
Result LOINC | 22638-1 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191157 | |||||
Result Code Name | Pathologist provided ICD9: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191175 | |||||
Result Code Name | Pathologist provided ICD10: | |||||
UofM | ||||||
Result LOINC | 52797-8 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191117 | |||||
Result Code Name | Clinical history: | |||||
UofM | ||||||
Result LOINC | 22636-5 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191126 | |||||
Result Code Name | Amended report: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191127 | |||||
Result Code Name | Addendum: | |||||
UofM | ||||||
Result LOINC | 22639-9 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191147 | |||||
Result Code Name | Diagnosis provided by: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191119 | |||||
Result Code Name | Signed out by: | |||||
UofM | ||||||
Result LOINC | 19139-5 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191120 | |||||
Result Code Name | Performed by: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191116 | |||||
Result Code Name | Gross description: | |||||
UofM | ||||||
Result LOINC | 22634-0 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191156 | |||||
Result Code Name | Microscopic description: | |||||
UofM | ||||||
Result LOINC | 22635-7 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191141 | |||||
Result Code Name | Special procedure: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191179 | |||||
Result Code Name | Previous history: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191144 | |||||
Result Code Name | QA comment: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 019018 | |||||
Result Code Name | . | |||||
UofM | ||||||
Result LOINC | 11546-9 | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 000000 | |||||
Result Code Name | NonGyn CPT Code Automation | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 019065 | |||||
Result Code Name | ||||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 009076 | |||||
Order Code Name | Sputum Cytology | |||||
Order Loinc | ||||||
Result Code | 191167 | |||||
Result Code Name | Photomicrograph | |||||
UofM | ||||||
Result LOINC | N/A |