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Test Code BONEM Hematopathology Consultation, Bone Marrow


Necessary Information


1. All specimens, patient history, and requests should be clearly labeled with correct patient information, and case number.
2. Collection date and patient date of birth are required.
3. All specimens must be labeled with specimen type.
4. The name and phone number of the ordering physician and a brief history are essential to achieve a consultation.



Specimen Required


Tissues should be submitted in formalin. A core and clot are considered ideal.

 

Specimen Type: Bone marrow core biopsy
Container/Tube: 10% Formalin
Collection Instructions:
1. Place biopsy core in 10% formalin immediately after collection.
2. Fix in 10% formalin for a minimum of 1 hour before decalcification.
3. Core biopsy decalcified for 1 hour before standard tissue processing.

 

Specimen Type: Bone marrow aspirate clot
Container/Tube: 10% Formalin
Collection Instructions:
1. Place 0.5 mL bone marrow aspirate in clot tube.
2. After clot has formed, place clot in 10% formalin.

 

Specimen Type: Wright Stained peripheral blood smears and CBC
Container/Tube: Transport in plastic slide holders.
Preferred: Fresh prep fingerstick slide; include CBC values
Acceptable: Slides made from whole blood in EDTA, made within 8 hours of collection
Collection Instructions:
1. Prepare good quality smear of even thickness from fingerstick.
2. Alternately prepare good quality smear from EDTA vial within 8 hours of collection.
3. Submit unstained and unfixed slides.


Useful For

Obtaining a rapid, expert opinion on unprocessed bone marrow specimens

Testing Algorithm

Mankato:

This test should be ordered when submitting any wet tissue or liquid specimen along with a request for a Hematopathology consultation.

 

This test should be used when all processing of a formalin-fixed biopsy core is to be reviewed at the Mankato histology lab.

 

This test can be used when requesting that a Mayo Clinic Health System Pathologist provides full bone marrow workup, including appropriate ancillary testing, interpretation, and reporting. This would include processing of the formalin-fixed biopsy and aspiration, as long as a wet tissue or liquid specimen is also submitted.

 

Appropriate additional stains and other ancillary testing may be performed in order to render an accurate diagnosis. The additional stains and tests ordered will have the results included within the final pathology report and will be charged separately.

 

Reporting Name

Hematopathology

Specimen Type

Varies

Specimen Stability Information

Specimen Type Temperature Time Special Container
Varies Ambient

Reject Due To

No specimen should be rejected.

Reference Values

The laboratory will provide a pathology consultation.

Performing Laboratory

MCHS- Mankato

CPT Code Information

85060 (if appropriate)
85097 (if appropriate)
88305 (if appropriate)
88311 (if appropriate)
88313 (if appropriate)

 

LOINC Code Information

Test ID Test Order Name Order LOINC Value
BONEM Hematopathology In Process

 

Result ID Test Result Name Result LOINC Value
71010 Interpretation 59465-5
71011 Report electronically signed by 19139-5
71012 Specimen Received 22633-2
71013 Clinical History 22636-5
71014 Gross Description 22634-0
71016 Microscopic Description 22635-7
71017 Addendum 35265-8
71636 Disclaimer 62364-5
71860 Case Number 80398-1

Day(s) Performed

Monday through Friday

Report Available

2 to 10 days depending on the complexity of the case