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Specimen Collection Manual and Test Catalog

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BRONCHOALVEOLAR LAVAGE CYTOLOGY WITH DIFFERENTIAL COUNT

Geisinger Epic Procedure Code:  LAB4098    Geisinger Epic ID:  17605

SPECIMEN COLLECTION
Specimen type: 

Bronchoalveolar lavage


Preferred collection container: 
Specimen required: 

Lavage specimen.



SPECIMEN PROCESSING
Processing instructions: 

Collect lavage specimen in sterile specimen container. Label with two patient identifiers. DO NOT add fixative.


Transport temperature: 

Room temperature. Refrigerate if delay in delivery to laboratory.


Rejection criteria: 

Inadequate patient identifiers on specimen, unlabeled specimen, discrepancy between patient specimen and requisition information, improper collection.



TEST DETAILS
CPT code(s):  88112, 88312, 88305, 89051
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: 

Cytologic evaluation.


Methodology: 
Microscopic Examination
Synonyms: 

BAL, DIFF, DIFFERENTIAL, BRONCHOALVEOLAR LAVAGE


Clinical significance: 

For detection and characterization of malignancy; identification of some microbiologic pathogens (viral, fungal) and detection of lipid-containing macrophages and iron-laden macrophages (may require specific collection guidelines; see individual tests).


Doctoral Director(s): 
Sara Monaco MD
Review Date:  10/21/2024

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