Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

FINE NEEDLE ASPIRATION OF SUPERFICIAL TARGETS WITHOUT IMAGE GUIDANCE

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

SPECIMEN COLLECTION
Specimen type:
Fine needle aspirate (FNA)
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 obtained by FNA and needle rinsings submitted in capped 10 mL vial with 6 mL RPMI.
Special notes:
Target lesion is aspirated with a 25 gauge needle. First drop of material smeared between two glass "+" slides. One slide is air-dried; the other is fixed in 95% ethanol. 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. Clearly indicate for each slide whether it was fixed or air-dried to ensure appropriate processing.
Patient preparation:
Sterilization of skin surface with alcohol wipe for FNA without image guidance.

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, 10021
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 evaluation of DiffQuick- and Pap-stained smears. RPMI suspension used for either cell block preparation or ancillary studies (e.g., flow cytometry).
Synonyms:
FNA, FNAB, cytology
Fine needle biopsy aspirate, aspirate
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 dignose mass lesions and to characterize the type of malignancy or benign disease which is present.
Doctoral Director(s:)
Sara Monaco MD    
Review Date: 11/10/2020

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?
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