Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

FINE NEEDLE ASPIRATION, DEEP TISSUE SOURCE, WITH FLUOROSCOPIC, ULTRASOUND, OR CT GUIDANCE

ORDERING INFORMATION:
Sunquest Test Code:
     Geisinger Epic Procedure Code: 100003         Geisinger Epic ID: 17605

SPECIMEN COLLECTION
Specimen type:
Aspirated specimen from deep tissue source
Preferred collection container:
Glass Slides
Capped sterile specimen container (10 mL vial) with 6 mL RPMI
Specimen required:
Plus (+) glass slides with direct smears. Fluid and needle rinsings obtained by FNA submitted in RPMI.
Special notes:
Target lesion sampled with 25,23 or 22 gauge needle. First drop of material smeared between two glass "+" slides. One slide is air-dried; the other is spray-fixed immediately with spray fixative. Two slides, one air-dried and one alcohol-fixed, submitted per needle pass. Materials in excess of the first slide preparation to be rinsed into RPMI solution. Needle rinsings are placed in RPMI solution. Label RPMI with patient ID, (name, MRN), and specimen source. Label each slide in pencil with patient name and MRN and site. Clearly indicate for each slide whether it was fixed or air-dried to ensure appropriate processing.
Patient preparation:
Skin surface for image-guided FNAs sterilized with alcohol or soaps.

SPECIMEN PROCESSING
Transport temperature:
Glass slides: Room temperature. RPMI transported with ice pack if > 2 hour transport.
Rejection criteria:
Inadequate patient identifiers on specimen, unlabeled specimen, discrepancy between patient specimen and requisition information, improper collection.

TEST DETAILS
CPT code(s):
88173, 88305
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Cytologic evaluation, including cell block if possible. When requested, a cytotechnologist or fellow is available to go to Radiology or to the Pulmonary Lab or Endoscopy for immediate evaluation of the specimen and assessment of cellularity/specimen adequacy.
Synonyms:
NEEDLE ASPIRATE, NEEDLE, ASPIRATE
FNA, CYTOLOGY
Clinical significance:
Fine needle aspiration of mass lesions is commonly utilized in the detection of a variety of malignant diseases. Obtaining an adequate specimen requires attention to good aspiration technique as well as to processing of material obtained. Indications: To diagnose mass lesions and to characterize the type of malignancy or benign disease which is present.
Doctoral Director(s:)
Steven Meschter M.D.    
Review Date: 12/13/2018

Performing Locations

Geisinger Medical Center

Performing laboratory: Cytology
Technical Lead: Michele Zelonis
Frequency: Monday-Friday
Performed stat? No

Geisinger Wyoming Valley Medical Center

Performing laboratory: Cytology
Technical Lead: Lisa DiPippa    
Frequency: Monday-Friday    
Performed stat? No

Geisinger Lewistown Hospital

Performing laboratory: Cytology
Technical Lead: Rebecca Havice  
Frequency: Monday-Friday    
Performed stat?

Geisinger Holy Spirit Hospital

Performing laboratory: Cytology
Technical specialist: Vanessa Green    
Frequency: Monday-Friday 1st shift    
Performed stat? No
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*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
GCMC - Geisinger Community Medical Center (Scranton); GLH - Geisinger Lewistown Hospital; GHS - Geisinger Holy Spirit; GJSH - Geisinger Jersey Shore Hospital,
GSWB - Geisinger South Wilkes-Barre