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HelpTest ID 70012 Pathology Consultation
Useful For
Obtaining a rapid, expert second opinion on specimens referred by the primary pathologist
Obtaining special studies not available locally
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| 62473 | AnatPath Consult, w/Slide Prep | No, (Bill Only) | No |
| 62472 | AnatPath Consult, Outside Slide | No, (Bill Only) | No |
| 62376 | AnatPath Consult, w/USS Prof | No, (Bill Only) | No |
| 62474 | AnatPath Consult, w/Comp Rvw of His | No, (Bill Only) | No |
| 61123 | HemePath Consult, Outside Slide | No, (Bill Only) | No |
| 61124 | HemePath Consult, w/Slide Prep | No, (Bill Only) | No |
| 62373 | HemePath Consult, w/USS Prof | No, (Bill Only) | No |
| 61125 | HemePath Consult, w/Comp Rvw of His | No, (Bill Only) | No |
| 62466 | DermPath Consult, Outside Slide | No, (Bill Only) | No |
| 62467 | DermPath Consult, w/Slide Prep | No, (Bill Only) | No |
| 62374 | DermPath Consult, w/USS Prof | No, (Bill Only) | No |
| 62202 | DermPath Consult, w/Comp Rvw of His | No, (Bill Only) | No |
| 62196 | RenalPath Consult, Outside Slide | No, (Bill Only) | No |
| 62197 | RenalPath Consult, w/Slide Prep | No, (Bill Only) | No |
| 62366 | RenalPath Consult, w/USS Prof | No, (Bill Only) | No |
| 62198 | RenalPath Consult, w/Comp Rvw of His | No, (Bill Only) | No |
Testing Algorithm
This request will be processed as a consultation case. An interpretation, which includes an evaluation of the specimen and determination of a diagnosis, will be provided within a formal pathology report. Second opinion regarding diagnosis will be rendered by staff pathologists, often in consultation with colleagues who have expertise in the appropriate subspecialty areas. Appropriate additional stains and other ancillary testing may be performed in order to render an accurate diagnosis. These additional stains/tests ordered will have the results included within the final pathology report and will be charged separately.
Note: Special stains and studies performed on the case should be sent with the case for review. In order to determine an accurate diagnosis, some of these stains or studies may be deemed to warrant being repeated (and charged) at the reviewing Mayo pathologist's discretion. In addition, testing requested by the referring physician (immunostains, molecular studies, etc) may not be performed if deemed unnecessary by the reviewing Mayo pathologist. For all pathology consultations, ancillary testing necessary to determine a diagnosis is ordered at the discretion of the Mayo pathologist.
-If requesting a peripheral blood smear evaluation, order SPSM / Morphology Evaluation (Special Smear).
See Pathology Consultation Ordering Algorithm in Special Instructions.
Special Instructions
Reporting Name
Pathology ConsultationSpecimen Type
VariesA preliminary pathology report and brief history are required for all Pathology Consultations.
Specimen Type: Tissue
Container/Tube: Pathology Packaging Kit (Supply T554)
Collection Instructions: Submit hematoxylin and eosin (H and E) and all special stains performed on the case. Include unstained slides and/or a formalin-fixed, paraffin-embedded tissue block if it is anticipated that additional stains or ancillary testing may be necessary. Unstained slides for immunohistochemistry should be charged, if possible, as not all immunohistochemical stains can be performed on uncharged slides. If electron microscopy (EM) has been performed, include EM images (either on a CD or as prints).
Specimens needed to provide a complete Hematopathology consultation:
1. Recent peripheral blood smear with CBC report
2. Bone marrow biopsy/clot (block and stained slides)
3. Bone marrow aspirate (stained and unstained slides, and liquid)
4. All pending and final reports for ancillary testing on above specimens
Additional
Information:
1. A brief explanatory note or consultative letter is also recommended.
2. Attach the green "Attention Pathology" address label included in the kit to the outside of the transport container.
3. This test is not intended for use with wet tissue (tissue that still needs to be processed).
Forms:
1. Hematopathology Patient Information Sheet (Supply T676) in Special Instructions
2. Pathology/Cytology Information Sheet in Special Instructions
3. If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:
Hematopathology/Cytogenetics Test Request Form (T726) (http://www.mayomedicallaboratories.com/it-mmfiles/hematopathology-request-form.pdf)
Oncology Test Request Form (T729) (http://www.mayomedicallaboratories.com/it-mmfiles/oncology-request-form.pdf)
Pathology Test Request Form (T246) (http://www.mayomedicallaboratories.com/it-mmfiles/pathology-request-form.pdf)
Benign Hematology Test Request Form (T755) (http://www.mayomedicallaboratories.com/it-mmfiles/benign-hematology-test-request-form.pdf)
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Varies | Ambient (preferred) | |
| Frozen | ||
| Refrigerated | ||
Clinical Information
Mayo Clinic Rochester is staffed by pathologists whose expertise and special interests cover the entirety of pathology-from surgical pathology with all of its respective subspecialty areas, to Hematopathology, Renal Pathology, and Dermatopathology.
We provide consultation services on difficult diagnostic problems. Consultation cases may be sent by a referring pathologist and directed to one of the pathologists who is an expert in the given area or directed more broadly to the subspecialty group. Cases are frequently shared and sometimes transferred between the pathologists, as deemed appropriate for the type of case or diagnostic problem encountered. Emphasis is placed on prompt and accurate results. Stained slides and paraffin blocks received are reviewed in conjunction with the clinical history provided, laboratory findings, radiographic findings (if applicable), and sending pathologist's report or letter. If additional special stains or studies are needed, the results are included in the final interpretive report. In some cases, electron microscopy and other special procedures are utilized as required.
A variety of ancillary studies are available (eg, cytochemistry, immunohistochemistry, immunofluorescence, electron microscopy, mass spectrometry, cytogenetics, and molecular genetics) to aid in establishing a diagnosis. These ancillary studies are often expensive and labor intensive, and are most efficiently utilized and interpreted in the context of the morphologic features.
It is our goal to provide the highest possible level of diagnostic consultative service, while trying to balance optimal patient care with a cost-conscious approach to solving difficult diagnostic problems.
Cautions
This test is not intended to be used to obtain a primary diagnosis. Hematopathology, medical renal pathology, and dermatopathology primary consultation can be provided by separate tests (70016 / Hematopathology Consultation, Wet Tissue; 70064 / Renal Pathology Consultation, Wet Tissue; 4339 / DermPath Consultation, Wet Tissue). Otherwise, primary interpretation should be performed by a local pathology service and Mayo will render a second opinion if requested.
Appropriate stained and unstained slides and tissue sampling and fixation is required in order to make a diagnosis on routine stains and on the special stains or studies that may be required.
The referring pathologist's name and phone number are essential.
Specific diagnosis may require correlation with clinical information.
Day(s) Performed
Monday through Friday; Varies
Report Available
3 days; Note: Cases requiring additional staining and ancillary testing may require additional time.Performing Laboratory
Mayo Medical Laboratories in Rochester
CPT Code Information
88321-Consultation and report on referred slides prepared elsewhere (if appropriate)
88323-Consultation and report on referred material requiring preparation of slides (if appropriate)
88325-Consultation, comprehensive, with review of records and specimens, with report on referred material (if appropriate)