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Test Code LAB6 Bone Marrow

Additional Codes

155

Reporting Title

Bone Marrow Biopsy Procedure

Methodology

Bone Marrow Aspirate and Biopsy Obtained by Aspiration with Jamshidi Needle

 

Used to evaluate bone marrow morphology, hematopoiesis, myeloid/erythroid ratio, megakaryocytes, cellularity, and possible neoplasms.

Performing Laboratory

OhioHealth Laboratory Services-RMH and Grant Core Hematology

Specimen Requirements

This test must be scheduled in advance:

Call RMH Core Laboratory at 614-566-5685

Grant Core Laboratory at 614-566-8848

Grady Laboratoy at 740-615-1366

Marion General Laboratory at

Dublin Laboratory at

Bone marrow aspirate smears, biopsy, and peripheral blood and smears are required for this test.

 

Bone Marrow Aspirate Smear and Biopsy

Collection is performed by physician assisted by medical technologist from the Core Laboratory.

 

Five to 7 bone marrow aspirate smears containing spicules and/or biopsy specimen preserved in zinc formalin solution.

Note:  1. Complete blood count (CBC) results, patient diagnosis, reason for performing bone marrow, date and diagnosis of previous bone marrows, and date of chemotherapy or radiation therapy are required for processing.

2. Send smears in separate package from formalin containers.

 

Peripheral Blood and Smears

Draw peripheral blood in a lavender-top (EDTA) tube(s). Mix by gently inverting 8 times. Submit 2 peripheral smears along with EDTA peripheral blood. Forward promptly at ambient temperature only.

Note:  1. CBC results, patient diagnosis, reason for performing bone marrow, date and diagnosis of previous bone marrows, and date of chemotherapy or radiation therapy are required for processing.

2. Send smears in separate package from formalin containers.

Specimen Transport Temperature

Ambient/Refrigerate NO/Frozen NO

Reference Values

Results are interpreted by a clinical pathologist.

Day(s) Test Set Up

Monday through Friday

Test Classification and CPT Coding

38221 - biopsy/aspiration interpretation

85060 - blood smear interpretation

85097 - bone marrow interpretation

88305 - surgical pathology, gross and microscopic

88311 - decalcification

88313 - iron stain