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Bronchial Washings Cytology

CPT 88112

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.

Test Includes

Bronchial washings; bronchoalveolar lavage specimens

Use

Establish the presence of primary or metastatic neoplasms; aid in the diagnosis of respiratory infections with herpesvirus, cytomegalovirus, Aspergillus, Coccidioides, Candida, Actinomyces, Cryptococcus, Histoplasma, Blastomyces, Phycomycetes, Pneumocystis carinii, and Strongyloides; aid in the diagnosis of asbestosis

Special Instructions

Include type of specimen and pertinent clinical information (ie, patient's name, age, Social Security number, clinical impression, past diagnoses, radiographic findings, and history of radiation or chemotherapy) on the request form.

Limitations

Allowing fluid to stand for a prolonged period before processing may cause deterioration and artifact.

Specimen Requirements

Specimen

Bronchial washings or bronchoalveolar lavage (BAL) specimens obtained by physician

Volume

Not less than 1 to 2 mL for washings

Container

50 mL disposable centrifuge tube

Collection Instructions

Washings or aspirates collected during the endoscopic examination should be collected and mixed with an equal volume of 50% ethyl alcohol or Saccomanno fixative. Specimens should be properly labeled and delivered immediately to the laboratory. Submit specimens in their original collection containers. (Note: Specimens prepared with fixatives that contain 50% ethyl alcohol, eg, Saccomanno fixative, are not acceptable for microbiology testing.)

Storage Instructions

Refrigerate

Causes for Rejection

Improper labeling; improper fixative; 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
009035 Bronchial Washings Cytology 50007-4 191115 Specimen type: 22633-2
009035 Bronchial Washings Cytology 50007-4 191152 Source: 22633-2
009035 Bronchial Washings Cytology 50007-4 191160 Clinician provided ICD9: 52797-8
009035 Bronchial Washings Cytology 50007-4 191174 Clinician provided ICD10: 52797-8
009035 Bronchial Washings Cytology 50007-4 191118 DIAGNOSIS: 47526-9
009035 Bronchial Washings Cytology 50007-4 191165 Recommendation: 22638-1
009035 Bronchial Washings Cytology 50007-4 191140 Comment: 22638-1
009035 Bronchial Washings Cytology 50007-4 191157 Pathologist provided ICD9: 52797-8
009035 Bronchial Washings Cytology 50007-4 191175 Pathologist provided ICD10: 52797-8
009035 Bronchial Washings Cytology 50007-4 191117 Clinical history: 22636-5
009035 Bronchial Washings Cytology 50007-4 191126 Amended report: N/A
009035 Bronchial Washings Cytology 50007-4 191127 Addendum: 22639-9
009035 Bronchial Washings Cytology 50007-4 191147 Diagnosis provided by: N/A
009035 Bronchial Washings Cytology 50007-4 191119 Signed out by: 19139-5
009035 Bronchial Washings Cytology 50007-4 191120 Performed by: N/A
009035 Bronchial Washings Cytology 50007-4 191116 Gross description: 22634-0
009035 Bronchial Washings Cytology 50007-4 191156 Microscopic description: 22635-7
009035 Bronchial Washings Cytology 50007-4 191141 Special procedure: N/A
009035 Bronchial Washings Cytology 50007-4 191179 Previous history: N/A
009035 Bronchial Washings Cytology 50007-4 191144 QA comment: N/A
009035 Bronchial Washings Cytology 50007-4 019018 . 11546-9
009035 Bronchial Washings Cytology 50007-4 000000 NonGyn CPT Code Automation N/A
009035 Bronchial Washings Cytology 50007-4 019065 PDF N/A
009035 Bronchial Washings Cytology 50007-4 191167 Photomicrograph N/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191115
Result Code NameSpecimen type:
UofM
Result LOINC22633-2
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191152
Result Code NameSource:
UofM
Result LOINC22633-2
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191160
Result Code NameClinician provided ICD9:
UofM
Result LOINC52797-8
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191174
Result Code NameClinician provided ICD10:
UofM
Result LOINC52797-8
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191118
Result Code NameDIAGNOSIS:
UofM
Result LOINC47526-9
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191165
Result Code NameRecommendation:
UofM
Result LOINC22638-1
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191140
Result Code NameComment:
UofM
Result LOINC22638-1
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191157
Result Code NamePathologist provided ICD9:
UofM
Result LOINC52797-8
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191175
Result Code NamePathologist provided ICD10:
UofM
Result LOINC52797-8
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191117
Result Code NameClinical history:
UofM
Result LOINC22636-5
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191126
Result Code NameAmended report:
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191127
Result Code NameAddendum:
UofM
Result LOINC22639-9
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191147
Result Code NameDiagnosis provided by:
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191119
Result Code NameSigned out by:
UofM
Result LOINC19139-5
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191120
Result Code NamePerformed by:
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191116
Result Code NameGross description:
UofM
Result LOINC22634-0
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191156
Result Code NameMicroscopic description:
UofM
Result LOINC22635-7
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191141
Result Code NameSpecial procedure:
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191179
Result Code NamePrevious history:
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191144
Result Code NameQA comment:
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code019018
Result Code Name.
UofM
Result LOINC11546-9
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code000000
Result Code NameNonGyn CPT Code Automation
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code019065
Result Code NamePDF
UofM
Result LOINCN/A
Order Code009035
Order Code NameBronchial Washings Cytology
Order Loinc50007-4
Result Code191167
Result Code NamePhotomicrograph
UofM
Result LOINCN/A