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Vanderbilt Pathology Laboratory Services

Test Directory



TISSUE EXAMINATION ()

Department: Surgical Pathology
Test Synonym(s): Biopsy, Tissue Biopsy, Pathology Tissue, Punch Biopsy, Core Biopsy
Test Components: Gross Description and Diagnosis
CPT Codes: 88300-88309 Also possible 88311-88313 88342
Methodology: Histological preparation and microscopic interpretation Special stains or procedures may be required at request of pathologist
Specimen: Submit in 10 % neutral buffered formalin. Exceptions: Imunofluorescence submit in Michele's Fixative Lymph Nodes submit in saline. EM submit in gluteraldehyde
Volume: Fixative volume at least 10X that of specimen
Temperature: Room temperature
Stability: Fix tissue immediately. Once fixed specimen is stable indefinitely. Protect against leakage. Note: Breast biopsies must fix in 10 % formalin a minimum of 6 hours and a maximum of 48 hours for HER2 and 72 hours for ER/PR. Shorter or longer fixation m
Reasons for Rejection: Incorrect or incomplete patient identification. Label both the test requisition and container with 2 patient identifiers.
Days Performed: Monday - Friday
Times Performed: 8:00 a.m. - 5:00 p.m.
TAT: 48 hr from accession date if non-complex. May be longer if complex
Significance: Significant or unusual findings are communicated.
Special Instructions: Complete VPLS Test Requisition. Formalin is hazardous and should be handled with care as to not leak. Seal containers completely and submit in specimen bag. Submit completed requisition in pocket of bag or a second bag placed in specimen bag. Include pertinent clinical data and billing information on the test requisition

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