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Sputum Cytology Series

CPT 88108
Synonyms
  • Cytology, Sputum

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 PDF N/A
009076 Sputum Cytology 191167 Photomicrograph N/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191115
Result Code NameSpecimen type:
UofM
Result LOINC22633-2
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191152
Result Code NameSource:
UofM
Result LOINC22633-2
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191160
Result Code NameClinician provided ICD9:
UofM
Result LOINC52797-8
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191174
Result Code NameClinician provided ICD10:
UofM
Result LOINC52797-8
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191118
Result Code NameDIAGNOSIS:
UofM
Result LOINC47526-9
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191165
Result Code NameRecommendation:
UofM
Result LOINC22638-1
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191140
Result Code NameComment:
UofM
Result LOINC22638-1
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191157
Result Code NamePathologist provided ICD9:
UofM
Result LOINC52797-8
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191175
Result Code NamePathologist provided ICD10:
UofM
Result LOINC52797-8
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191117
Result Code NameClinical history:
UofM
Result LOINC22636-5
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191126
Result Code NameAmended report:
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191127
Result Code NameAddendum:
UofM
Result LOINC22639-9
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191147
Result Code NameDiagnosis provided by:
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191119
Result Code NameSigned out by:
UofM
Result LOINC19139-5
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191120
Result Code NamePerformed by:
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191116
Result Code NameGross description:
UofM
Result LOINC22634-0
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191156
Result Code NameMicroscopic description:
UofM
Result LOINC22635-7
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191141
Result Code NameSpecial procedure:
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191179
Result Code NamePrevious history:
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191144
Result Code NameQA comment:
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code019018
Result Code Name.
UofM
Result LOINC11546-9
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code000000
Result Code NameNonGyn CPT Code Automation
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code019065
Result Code NamePDF
UofM
Result LOINCN/A
Order Code009076
Order Code NameSputum Cytology
Order Loinc
Result Code191167
Result Code NamePhotomicrograph
UofM
Result LOINCN/A