Last Modified:
1/6/2021 7:14:08 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
Tissue/Object removed from patient in 10% formalin
Collection Instructions:
All surgical specimens must be labeled with the Patient's Name, Idendification Number,Physician, and source of specimen
Tissue/Object, Site/Source must be written on the container and requisition.
Transport & Storage: Temperature/Stability:
Ambient
Reference Range:
Refer to Interpretive Pathology Report, Level testing and/or combination Level testing completed will be determined by source and diagnosis
Critical Ranges:
Test Comments:
If additional reflex testing is needed turn around time will be delayed
Methodology:
Formalin fix parafin embeded tissue
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
48 to 72 hours
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
PS
EPIC Test Code:
LAB2491
Included Tests:
Level II; Level III; Level IV; Level V; Level VI
CPT Coding:
88302, 88304, 88305, 88307, 88309
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