Bronchial Wash
| Test Code | |
| Test Name | Bronchial Wash |
| CPT Code | 81628 |
| Preferred Requirement | See Special Instructions |
| Alternate Requirement | Bronchial-Alveolar Lavage Cytology; Bronchial Lavage/Wash Cytology; Tracheal Lavage/Wash/Aspirations Cytology |
| Minimum Volume | |
| Transport Temperature | **REFRIGERATE ALL CYTOLOGY SPECIMENS IF IMMEDIATE DELIVERY TO LAB/CYTOLOGY IS NOT POSSIBLE** Transport ASAP or within 12 hours |
| TAT | |
| Methodology | Smears and thin layer preparations are examined microscopically using the Pap stain method. |
| Day Performed | |
| Special Instructions | APPLIES TO: Bronchial-Alveolar Lavage Cytology; Bronchial Lavage/Wash Cytology; Tracheal Lavage/Wash/Aspirations Cytology. SPECIAL INSTRUCTIONS: Information regarding type of specimen, admitting diagnosis, and pertinent clinical history (i.e., age, clinical impression, past diagnosis, radiographic findings, and history of radiation/chemotherapy or malignancy) is essential to interpretation and should be noted on the Infectious diseases suspected and special stains requested should be Clinical evidence of immunosuppression should be indicated. Special handling requirements (isolation) should be clearly noted on the requisition. SPECIMEN (S): Bronchial Washings/Lavages, Bronchoalveolar Lavage (BAL), Tracheal Washings Bronchial washings/lavages are evaluated to diagnose benign and malignant conditions in the lung area. CONTAINER: Clean, leak-proof container(s). Label all containers with a minimum of two patient identifiers. COLLECTION TECHNIQUE: 1.Complete the requisition entirely. 2.Pre-label collection container(s) with patient name and sample site. 3.Using standard bronchoscopy techniques, obtain the washings/lavage from the lung area of interest by instilling saline and aspirate the material. 4.Collect the fluid in a leak-proof container. 5.Specimens may be submitted fresh/unfixed or fixed in CytoLyt. 6.Add a volume of fixative to the specimen such that the ratio of fixative to specimen is 2:1 Seal container well to prevent leaking. 7.Seal the container well to prevent leaking. 8.Place labeled container in a sealable Biohazard specimen bag and include the requisition in the outer pocket of the specimen bag. 9.Send the entire specimen to the laboratory as soon as possible. |
| Comments | REQUEST FORM: Anatomical Pathology Requisition Complete patient information section. Complete the Non-Gynecologic section thoroughly. CAUSES FOR REJECTION: Incomplete requisition. Specimen container not labeled properly. Gross contamination due to spillage. Prolonged period (more than eight (8) hours) at room temperature. Delay in delivery for adequate preservation. LIMITATIONS: Negative bronchial washing may be considered non-diagnostic if respiratory epithelium is not present. |
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