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Test Code LAB1008 Bone Marrow Examination

Methodology

Microscopic Evaluation

Bone marrow biopsy and bone marrow aspirate evaluation including iron special staining. Additional charges may be added for immunohistochemical staining to aid in the diagnosis (organisms, leukemia subtyping, etc.).

Performing Laboratory

CentraCare Laboratory Services

Specimen Requirements

Specimen Type: Bone marrow aspirate, peripheral blood smears, and Bone Marrow core

Container/Tube:Aspirate: Clean, glass slides and small vial containing EDTA supplied by the Hematology

Container/Tube: Core: Specimen vial containing 10% buffered formalin supplied by the Hematology Laboratory.

Specimen Volume: Entire collection

Collection Instructions:

1. Bone marrow aspirate and peripheral blood smears should be made on clean, glass slides.

2. After making bone marrow aspirate smears, place remainder of aspirate in small vial containing EDTA. Mix thoroughly by inversion.

3. Once core is obtainined, roll gently on glass slides (make up to 6 slides).  After slides are made, place core in 10% buffered formalin.

4. Label aspirate,core, slides with patient's name, medical record number and source of sample (right/left, aspirate, core, peripheral).

Additional Information: 

1. A pathology/diagnostic report and a brief history/diagnosis are required.

2. When a complete bone marrow aspirate/biopsy  evaluation is requested, aspirated bone marrow particles and cell block/clot are examined.

Special Instructions

Specimen Transport Temperature

Ambient

Reference Values

An interpretive report will be provided.

Day(s) Test Set Up

Monday through Saturday

Test Classification and CPT Coding

 

85060-Peripheral blood smear interpretation
85097-Smear interpretation

88313-Iron stain(aspirate)  Biopsy if appropirate

88161-Touch Preparation

88311-Decalcification

88305 x2 -Surgical pathology, gross and microscopic (if appropriate)