Cytopathology Specimens Acceptance and Rejection
Common Collection Errors | AutoCyte Prep | Biopsy Tissue | Blood Cultures | Coagulation | CSF | Cytogenetics | Cytopathology | Fecal | Pap Smears | Throat Culture | Urine Collection | Viral | Wound Sample
In order to provide quality
patient care and to reduce chances of potential misidentification of specimens
and slides we require that the guidelines outlined below be followed when
submitting specimens or slides for cytologic evaluation.
The requisition form must contain:
- The patientís first and last name.
- The patientís unique identification number (eg.
Unit History #, Social Security #)
- The patientís date of birth
- The requesting physicianís full name - UTMB
physicians also required to submit the physician billing ID number.
- The source of the specimen (eg. cervix,
vagina, vaginal cuff)
- The date the specimen was collected
- The reason for the test Ė submitted as an
ICD-9 code or as a descriptive diagnosis.
- Please provide any other pertinent clinical
information/history that is available and if pap smear is submitted, last
menstrual period (LMP) should be provided.
- When submitting a screening pap smear on a
Medicare patient, please provide the ICD-9 code for either a low risk
patient (V76.2) or a high risk patient (V15.89)
- When submitting a diagnostic pap smear on a
Medicare patient, please provide the appropriate ICD-9 code for the
sign/symptom or reason it is diagnostic
submitted must be clearly labeled in pencil with the patientís full name,
including first and last name. No initials, please.
unique patient identification number must be provided, either written in
pencil on the slide; written on the specimen container, or provided as a
requisition adhesive label placed on the slide container.
smears with no identification written on the slide will not be accepted for
patientís pap smear slide should be submitted per specimen carton.
broken beyond repair will not be accepted. Those with the label end intact
(patient name readable) and with the remaining slide large enough to fit in
the staining machine will be accepted.
patientís name/identification number written on the requisition form does
not match the name/identification number on the specimen container/slide,
the specimen will be rejected, and a new specimen will be required.
Depending upon contract agreements, additional patient information may be
concerning these guidelines may be addressed to the laboratory supervisor
at 409-772-2872 or 409-772-2873.
Reviewed 6/22/12 by Robert