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Pneumocystis jirovecii Pneumonia (PJP), Special Stain

CPT 88312
Synonyms
  • P carinii Pneumonia, Stain
  • P jirovecii Pneumonia, Stain
  • Pneumocystis carinii Pneumonia
  • PCP Stain
  • PJP Stain

Test Details

Methodology

Gomori methenamine silver stain and microscopic evaluation are 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.

Test Includes

Cytologic examination of smears

Use

This test is used to determine the presence of Pneumocystis jirovecii pneumonia (PJP) (formerly Pneumocystis carinii).

Special Instructions

Include patient's name, date of birth, date of collection, specimen type, sex, Social Security number, previous malignancy, drug therapy, radiation therapy, and all other pertinent clinical information on the request form.

Custom Additional Information

The Cytology laboratory does not offer a Pneumocystis stain by itself but does offer a cytologic interpretation of the specimen in conjunction with a special stain for PJP. This policy assures that the specimen is adequate (i.e., if pulmonary macrophages are present in a sputum), as well as review for atypical or malignant cells. If only a special stain for PJP is wanted, without cytologic review of the cells, please order Test No. 180232 to be sent to the microbiology department.

Specimen Requirements

Specimen

Sputum, bronchial washing, bronchial brushing, bronchial alveolar lavage, body fluids, fine needle aspirates, tracheal aspirates, transbronchial aspirates

Volume

2 mL

Minimum Volume

1 mL

Container

Sterile specimen container

Collection Instructions

Specimen should be collected without fixative and sent to the testing facility within 24 hours of collection. Label the container with the patient's name, date, and type of specimen.

Storage Instructions

Maintain specimen at room temperature.

Causes for Rejection

Improper labeling; fixation of specimen; frozen specimen

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
190256 P jirovecii Pneumonia, Stain 191115 Specimen type: 22633-2
190256 P jirovecii Pneumonia, Stain 191152 Source: 22633-2
190256 P jirovecii Pneumonia, Stain 191160 Clinician provided ICD9: 52797-8
190256 P jirovecii Pneumonia, Stain 191174 Clinician provided ICD10: 52797-8
190256 P jirovecii Pneumonia, Stain 191118 DIAGNOSIS: 47526-9
190256 P jirovecii Pneumonia, Stain 191165 Recommendation: 22638-1
190256 P jirovecii Pneumonia, Stain 191140 Comment: 22638-1
190256 P jirovecii Pneumonia, Stain 191157 Pathologist provided ICD9: 52797-8
190256 P jirovecii Pneumonia, Stain 191175 Pathologist provided ICD10: 52797-8
190256 P jirovecii Pneumonia, Stain 191117 Clinical history: 22636-5
190256 P jirovecii Pneumonia, Stain 191126 Amended report: N/A
190256 P jirovecii Pneumonia, Stain 191127 Addendum: 22639-9
190256 P jirovecii Pneumonia, Stain 191147 Diagnosis provided by: N/A
190256 P jirovecii Pneumonia, Stain 191119 Signed out by: 19139-5
190256 P jirovecii Pneumonia, Stain 191120 Performed by: N/A
190256 P jirovecii Pneumonia, Stain 191116 Gross description: 22634-0
190256 P jirovecii Pneumonia, Stain 191156 Microscopic description: 22635-7
190256 P jirovecii Pneumonia, Stain 191141 Special procedure: N/A
190256 P jirovecii Pneumonia, Stain 191179 Previous history: N/A
190256 P jirovecii Pneumonia, Stain 191144 QA comment: N/A
190256 P jirovecii Pneumonia, Stain 019018 . 11546-9
190256 P jirovecii Pneumonia, Stain 000000 NonGyn CPT Code Automation 13326-4
190256 P jirovecii Pneumonia, Stain 191167 Photomicrograph N/A
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191115
Result Code NameSpecimen type:
UofM
Result LOINC22633-2
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191152
Result Code NameSource:
UofM
Result LOINC22633-2
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191160
Result Code NameClinician provided ICD9:
UofM
Result LOINC52797-8
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191174
Result Code NameClinician provided ICD10:
UofM
Result LOINC52797-8
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191118
Result Code NameDIAGNOSIS:
UofM
Result LOINC47526-9
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191165
Result Code NameRecommendation:
UofM
Result LOINC22638-1
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191140
Result Code NameComment:
UofM
Result LOINC22638-1
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191157
Result Code NamePathologist provided ICD9:
UofM
Result LOINC52797-8
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191175
Result Code NamePathologist provided ICD10:
UofM
Result LOINC52797-8
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191117
Result Code NameClinical history:
UofM
Result LOINC22636-5
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191126
Result Code NameAmended report:
UofM
Result LOINCN/A
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191127
Result Code NameAddendum:
UofM
Result LOINC22639-9
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191147
Result Code NameDiagnosis provided by:
UofM
Result LOINCN/A
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191119
Result Code NameSigned out by:
UofM
Result LOINC19139-5
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191120
Result Code NamePerformed by:
UofM
Result LOINCN/A
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191116
Result Code NameGross description:
UofM
Result LOINC22634-0
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191156
Result Code NameMicroscopic description:
UofM
Result LOINC22635-7
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191141
Result Code NameSpecial procedure:
UofM
Result LOINCN/A
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191179
Result Code NamePrevious history:
UofM
Result LOINCN/A
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191144
Result Code NameQA comment:
UofM
Result LOINCN/A
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code019018
Result Code Name.
UofM
Result LOINC11546-9
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code000000
Result Code NameNonGyn CPT Code Automation
UofM
Result LOINC13326-4
Order Code190256
Order Code NameP jirovecii Pneumonia, Stain
Order Loinc
Result Code191167
Result Code NamePhotomicrograph
UofM
Result LOINCN/A