Sputum Cytology Series

TEST: 009076
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CPT: 88108
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Synonyms

  • Cytology, Sputum

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.

Expected 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.

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

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

Test Details

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.

Limitations

If pulmonary macrophages are not identified, specimen will be reported as unsatisfactory for adequate evaluation.

Methodology

Direct smears or slides prepared using the Saccomanno method. Pap stained: microscopic examination is performed.

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 PDF N/A
009076 Sputum Cytology 191167 Photomicrograph N/A

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CPT Statement/Profile Statement

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