| Test Description |
|
Test Name
|
Hematopathology Consultation |
| Synonym(s) |
Morphologic Consultation |
|
Description
|
We provide consultative services for diagnostic problems in bone marrow and lymph node pathology. Cytochemical stains, including myeloperoxidase and non-specific esterase can be performed if necessary. An array of Immunohistochemical stains for hematopoietic cell antigens is available (see separate listing for IMMUNOHISTOCHEMISTRY; additional charges may apply). Immunophenotyping by flow cytometry, cytogenetic analysis and molecular diagnostic studies are available if indicated for diagnosis or prognosis assessment; these studies generally require fresh tissue. |
| Methodology |
Microscopic review. A highly qualified hematopathologist reviews the bone marrow aspirate smears, the clot sections and the H&E-stained BM biopsy along with the patient clinical history and laboratory findings. |
|
Performed
|
Monday through Friday |
|
Turnaround Time
|
Most diagnoses are rendered within 24 hours by telephone or fax. Reports are then mailed. If additional studies are required that will delay a final report; a telephone progress report will be made and an estimate of the time necessary to issue a final report will be provided. |
|
Specimen Requirements
|
Each specimen should be submitted with:
- Completed Oncology requisition form including the clinical history. The name and telephone number of the referring physician should be provided.
- Air-dried, unstained bone marrow aspirate smears (preferably 4 or more slides) and/or paraffin blocks in case additional stains are required. When blocks are sent, indicate the type of fixative.
- Blood and bone marrow smears for cytochemical studies must be air dried and unfixed and must be transported at room temperature.
- For immunocytochemical studies, smears must be desiccated shortly after preparation and maintained in a desiccator until they are stained.
- The specimen requirement for immunophenotyping by flow cytometry, cytogenetic analysis and molecular diagnostic studies are listed in this catalog.
|
| Rejection Criteria: |
|
| CPT Code(s) |
88321, Basic consultation and report on referred material; or
88323, Consultation and report on referred material which required slide preparation; or
88325, Consultation with review of records and specimens, and report of referred material. Other immunohistochemical stains codes may apply.
|
| Reference Range |
The laboratory will provide an interpretive report. |
|
Contact
|
Clinical and Technical Support for Morphology Services
Brian M. Levenson, M.D., Interim Morphology Services Medical Director
214-648-6820
Zenaida Rivas, MT (ASCP), Morphology Services Manager
214-645-2987
Customer Service (214) 645-7057 or Toll Free (877) 887-8136
|
