Surgical Pathology, Gross & Micro Exam, Levels I-VI

Synonyms

  • Anatomic Pathology Tissue Report
  • Gross and micro exam
  • Tissue Report

EPIC Order Number

3000015 – Clinic Pathology Request

4000079 – Hospital Pathology Request (complete letter in EPIC)

Collect

  • Tissue in 10% neutral buffered formalin (available from Surgical Pathology at Associates in Pathology).
  • Label specimen container with two patient identifiers (patient name, DOB, and/or MRN), collection date/time, and specimen site/source.
  • Specimen must be accompanied by a completed Surgical Pathology Request (or EPIC Electronic Order) including two patient identifiers (patient name, DOB, and/or MRN), collection date/time, pertinent patient history, performing physician, and specimen site/source.

Due to minimum fixation requirements, breast core specimens must be in 10% neutral buffered formalin by 1:30 PM, Monday – Thursday.

AFTER HOURS:  Access to Surgical Pathology (Associates in Pathology) is restricted after 5:00 PM. If fresh, a call must be placed with Aspirus Security to gain access to the AIP histology laboratory to place the specimen in the refrigerator. All fixed tissue should be held till following morning.

Storage/Transport Temperature

Room temperature

Performed

Monday-Friday, 7:00 AM – 5:00 PM

Reported/Turnaround Time

MOST specimens received prior to 4:30 PM will be processed the same day and reported out the following working day.

Larger specimens (i.e. colon resections) requiring longer fixation received after 3:30 PM may be held until the following day and reported out a working day later.

NOTE: Results may be delayed or the sample rejected if pertinent and/or required information is conflicting or missing.

See Surgical Pathology Report

Note: Level of complexity (Level I through VI, as defined by CPT-AMA book) is determined during examination.

88300 - Level I

88302 - Level II

88304 - Level III

88305 - Level IV

88307 - Level V

88309 - Level VI