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. Specimens obtained after 5:00 PM should be delivered to the Specimen Receiving area in the Reference Laboratory.

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