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Indications: For the detection and characterization of bronchoscopically ill-defined or invisible premalignant/malignant pulmonary lesions; for the identification of some microbiologic pathogens (primarily viral or pneumocystis).
Specimen required: Bronchoscopically obtained washing (10 mL is preferred, fresh no fixative) of the bronchi in the region of the suspected lesion.
Supplies: Standard bronchoscopy equipment. 120 mL clean plastic specimen container(s).
Collection procedures: Using standard bronchoscopy technique, lavage the distribution of the bronchus to be sampled. Collect the wash in a clean container. Label the container with patients first and last name, date of birth, and specimen source.
Submit specimens fresh and unfixed if at all possible (see below).
Transport: Each specimen should be placed in a clearly labeled container that is leak proof. Place specimen inside a biohazard transport bag. Paper requisition(s) that accompany the specimen or slides in fixative should be placed in the outside pocket of the biohazard bag to avoid exposure to any leakage of fixative.
Causes for rejection: Incomplete patient requisitions, unlabeled/incorrectly
labeled specimen, frozen specimen, incorrect test ordered for
specimen, specimen in incorrect or expired fixative, specimen
from unauthorized person.
Reference interval: By report.
Note: For Bronchoalveolar Lavage Specimens refer to Bronchoalveolar Lavage.
Depending on methodology: 88112 Selective cellular enhancement
with interpretation or 88108 Concentration and interpretation
or 88104 Smears with interpretation or 8806 Cytopathology, filter.
Additional CPT codes may apply if special studies are required.