Test Code 1013 Spinal Fluid Cytology
Methodology
Screening and Interpretation by Pathologist
Performing Laboratory
Alomere Health Hospital Laboratory
Specimen Requirements
Specimen Type: Spinal fluid
Preferred: CytoLyt® Fixative
1. Place up to 20 mL of spinal fluid into CytoLyt® fixative. Slides will be prepared at Alomere Health Pathology.
2. Label CytoLyt® container with patient identification and specimen source.
3. Specify specimen source on requisition and label all containers.
4. Complete a “Cytology Examination Request Form” in “Forms” in “Special Instructions” and forward it with the specimen.
Acceptable: Direct Smears
1. Label polysine slides with patient identification.
2. Centrifuge spinal fluid for 10 minutes at 1,500 rpm.
3. Pour off supernate and carefully apply a small drop of material onto 1 end of a slide. Place second slide on top of first slide to obtain an even spread of material, and then separate the slides. Preparation of smear should be performed gently in order to prevent crushing of cells. Prepare 2 slides.
4. Immediately place slides in 95% alcohol.
5. Place up to 20 mL of remaining spinal fluid into CytoLyt® fixative and submit with prepared slides.
6. Specify specimen source on requisition and label all slides and containers.
7. Complete a “Cytology Examination Request Form” in “Forms” in “Special Instructions” and forward it with the specimen.
Specimen Transport Temperature
Ambient
Reference Values
Negative for malignancy
Day(s) Test Set Up
Monday through Friday
Test Classification and CPT Coding
88104 - cytopathology, nongyn, smear (if appropriate)
88112 - cytopathology, nongyn, ThinPrep® (if appropriate)