Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

BRONCHIAL BRUSHING

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

SPECIMEN COLLECTION
Specimen type:
Bronchial brushing
Preferred collection container:
Glass Slides
Specimen required:
Brushing smears, spray-fixed immediately with ethanol or brush tip in RPMI.
Special notes:
Label slides with two patient identifiers. Obtain a bronchial brushing and roll/smear brush on slides. Spray fix slides with ethanol. If brush is submitted, place in RPMI.

SPECIMEN PROCESSING
Transport temperature:
Glass slides: Room temperature. RPMI: Refrigerated.
Rejection criteria:
Inadequate patient identifiers on specimen, unlabeled specimen, discrepancy between patient specimen and requisition information, improper collection.

TEST DETAILS
CPT code(s):
88161
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:
Microscopic examination of Pap-stained smears.
Methodology:
Microscopic Smear
Synonyms:
Bronch brush, bronchoscopic brushing
Cytology
Respiratory
Clinical significance:
Adequate bronchial brushings should contain large numbers of well-preserved bronchial lining cells with as little contaminating oral and upper airway material as possible. For the detection and characterization of bronchoscopically visible premalignant/malignant pulmonary lesions; for the identification of some microbiologic pathogens (primarily viral and fungal).
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