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Test Code PATH15: Specimen to Pathology, Breast Specimen to Pathology, Breast

Additional Codes

Epic EAP: PATH15

Epic Description: SPECIMEN TO PATHOLOGY 

 

Synonym

Breast

Mammography

Mastectomy

Lumpectomy

Reduction

Specimen Type

Tissue, Breast

Patient Instructions/Preparation

  • If the specimen documentation requirements are not met, specimens may be rejected, which will delay final diagnosis. Certain specimens may be rejected with recommendation to recollect.
  • Each specimen container/jar must be labeled with the following information: 
    • Full patient name
    • MRN
    • Date of birth
    • Sex
    • Specimen source, including laterality, that fully matches the source on the order requisition. If the source is abbreviated on the printed label, a handwritten source must be provided on the container/jar.
  • Specimens are accompanied with Epic orders that include:
    • Full patient name
    • MRN
    • Date of birth
    • Sex
    • Patient location
    • Full name of physician and unique doctor number (if applicable)
    • Date of collection
    • Clinic history, if applicable
    • ICD-9 code of all outpatient specimens
    • Specimen source and description with site specific words, including laterality, that fully matches the source and description on the specimen container.
  • Known or Suspected Malignancy for must accompany the specimen to the lab. 

Specimen Required

 

 

  Collection Container Preferred Volume Minimum Volume
Preferred

10% neutral buffered formalin

20:1 10:1
Alternate Fresh in specimen container N/A N/A

 

Instructions for Collection and Transport

  • Ochsner main campus: Benson Cancer Center, 4th Floor
  • Ochsner community sites: Refer to your local laboratory for routing instructions
  • All specimens must be looged in at their proper destination
    • All specimens must be logged into logbook.
  • Frozen section specimens are submitted immediately by being delivered by the OR staff directly to the pathology lab with the Frozen Section Request Form
    • **After 5PM on weekdays and on weekends, contact the Pathologist On-Call in advance for frozen sections.
  • Community Site Operating Rooms: Follow your facility specific delivery protocols for specimen delivery to your on-site laboratory.
  • Clinics will submit specimens in formalin and take these specimens to your specimen pick-up location or if at Main Campus to Central Specimen Receiving (CSR).

Aliquot Requirements:

Breast tissue must be immersed in 10% buffered formalin within 1 hour of the biopsy or resection procedure for adequate marker testing. Specimen must be walked to the pathology lab. 

Performing Lab

OMC Anatomic Pathology Lab

Assay Frequency

Monday – Friday (8AM – 5PM)

Routine Turnaround Time

5 days excluding weekends and holidays.

CSR Storage Requirements

Formalin -room temperature

Fresh - refrigerator

 

CPT Code (s):

88305, 88307, 88309