Cytospin Preparation

Centralized Core Laboratory : Hematology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Cytospin Preparation
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

PREP SPHEM

Specimen Type:

Body fluid

Tube Type:

Fluid container

Collection Volume:

1.0 mL

Cause for Rejection:

Specimens more than 1 hour old, specimens grossly clotted

Storage:

Ambient

Availability:

Daily, 24 hours

Methodology:

Cytocentrifuge preparation

Special Instructions:

Specify body fluid type. Two or four cytospin preps will be prepared and sent to pathology for evaluation.

Lab/Phone:

330-543-8416

TAT:

1 hour

Additional Info:

Reference range: Done

CPT Code:

85999

Synonyms:

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...