Urine Cytology

Test Number 009068

CPT 88112

Synonyms

Urine, Bladder Washings/Lavage

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 infections with herpesvirus, cytomegalovirus, Blastomyces, and Schistosoma; evaluate malacoplakia; establish the presence of cytomegalic inclusion disease

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. A first morning voided specimen is not suitable. Collection method must be identified. For CMV Study, indicate chemotherapy or immunosuppression.

Limitations

Low-grade papillary transitional cell or urothelial carcinomas may not be diagnosed by cytologic examination. Calculi or recent instrumentation may produce atypical changes in urothelial cells simulating malignancy. Chemotherapy and radiation may also produce changes stimulating neoplasia. Viral culture is the method of choice for the diagnosis of CMV but cytology can provide faster results.

Specimen Requirements

Specimen

Second morning specimen; voided or catheterized urine; intraoperative washings of urinary bladder, urethra, ureters, or renal pelvis

Volume

Not less than 20 mL

Container

Sterile plastic urine container

Collection Instructions

Have patient drink one glass (6 oz) every 15 minutes for two to three hours. At the end of two hours, have the patient void or catheterize. Discard specimen.

Technique I (routine): One hour after collection of discarded specimen, have patient void and save the specimen. Send labeled specimen to the laboratory immediately.

Technique II (when residual bladder urine is present): Thirty minutes to one hour after collection of discarded specimen, catheterize bladder. Send labeled specimen to the laboratory immediately.

Technique III (for detection of upper urinary tract lesions): Catheterize ureters to pelvis for suspected renal or pelvic lesions. Repeat procedure using either ureter for control. For ureteral lesion, catheterize ureter to a point just below the level of the suspected lesion. Catheterize other ureter for control. Collect urine for 30 minutes. Label appropriately, right and left ureteral or pelvic specimen. Ship specimen immediately to the laboratory.

Storage Instructions

If collected after hours, add equal amount of 50% ethyl alcohol or Saccomanno fixative and place in the laboratory refrigerator. (Note: Specimens prepared with fixatives that contain 50% ethyl alcohol, eg, Saccomanno fixative, are not acceptable for microbiology testing.) Specify source of specimen.

Patient Preparation

Hydrate patient (give several glasses of water 30 minutes to one hour prior to collection).

Causes for Rejection

Improper labeling; improper fixation; 24-hour collection; undue delay in transport; 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	Result LOINC
009068	Urine Cytology	47525-1	191115	Specimen type:	22633-2
009068	Urine Cytology	47525-1	191152	Source:	22633-2
009068	Urine Cytology	47525-1	191160	Clinician provided ICD9:	52797-8
009068	Urine Cytology	47525-1	191174	Clinician provided ICD10:	52797-8
009068	Urine Cytology	47525-1	191118	DIAGNOSIS:	47526-9
009068	Urine Cytology	47525-1	191165	Recommendation:	22638-1
009068	Urine Cytology	47525-1	191140	Comment:	22638-1
009068	Urine Cytology	47525-1	191157	Pathologist provided ICD9:	52797-8
009068	Urine Cytology	47525-1	191175	Pathologist provided ICD10:	52797-8
009068	Urine Cytology	47525-1	191117	Clinical history:	22636-5
009068	Urine Cytology	47525-1	191126	Amended report:	N/A
009068	Urine Cytology	47525-1	191127	Addendum:	22639-9
009068	Urine Cytology	47525-1	191147	Diagnosis provided by:	N/A
009068	Urine Cytology	47525-1	191119	Signed out by:	19139-5
009068	Urine Cytology	47525-1	191120	Performed by:	N/A
009068	Urine Cytology	47525-1	191116	Gross description:	22634-0
009068	Urine Cytology	47525-1	191156	Microscopic description:	22635-7
009068	Urine Cytology	47525-1	191141	Special procedure:	N/A
009068	Urine Cytology	47525-1	191179	Previous history:	N/A
009068	Urine Cytology	47525-1	191144	QA comment:	N/A
009068	Urine Cytology	47525-1	019018	.	11546-9
009068	Urine Cytology	47525-1	000000	NonGyn CPT Code Automation	N/A
009068	Urine Cytology	47525-1	019065	PDF	N/A
009068	Urine Cytology	47525-1	191167	Photomicrograph	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191115
Result Code Name	Specimen type:
UofM
Result LOINC	22633-2
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191152
Result Code Name	Source:
UofM
Result LOINC	22633-2
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191160
Result Code Name	Clinician provided ICD9:
UofM
Result LOINC	52797-8
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191174
Result Code Name	Clinician provided ICD10:
UofM
Result LOINC	52797-8
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191118
Result Code Name	DIAGNOSIS:
UofM
Result LOINC	47526-9
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191165
Result Code Name	Recommendation:
UofM
Result LOINC	22638-1
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191140
Result Code Name	Comment:
UofM
Result LOINC	22638-1
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191157
Result Code Name	Pathologist provided ICD9:
UofM
Result LOINC	52797-8
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191175
Result Code Name	Pathologist provided ICD10:
UofM
Result LOINC	52797-8
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191117
Result Code Name	Clinical history:
UofM
Result LOINC	22636-5
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191126
Result Code Name	Amended report:
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191127
Result Code Name	Addendum:
UofM
Result LOINC	22639-9
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191147
Result Code Name	Diagnosis provided by:
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191119
Result Code Name	Signed out by:
UofM
Result LOINC	19139-5
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191120
Result Code Name	Performed by:
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191116
Result Code Name	Gross description:
UofM
Result LOINC	22634-0
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191156
Result Code Name	Microscopic description:
UofM
Result LOINC	22635-7
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191141
Result Code Name	Special procedure:
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191179
Result Code Name	Previous history:
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191144
Result Code Name	QA comment:
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	019018
Result Code Name	.
UofM
Result LOINC	11546-9
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	000000
Result Code Name	NonGyn CPT Code Automation
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	019065
Result Code Name	PDF
UofM
Result LOINC	N/A
Order Code	009068
Order Code Name	Urine Cytology
Order Loinc	47525-1
Result Code	191167
Result Code Name	Photomicrograph
UofM
Result LOINC	N/A

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