Spreadsheet: 20c35fee-a958-437f-91b7-ae6b0ebc9a96
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
70016 | Test | 70016 | Hematopathology Consultation, Wet Tissue | HemePath Consultation, Wet Tissue |  | Varies: Var |  |  |  |  | Forms: Hematopathology Patient Information Sheet (Supply T676) in Special Instructions  Bone marrow aspirate slides, bone marrow biopsy and/or peripheral blood slides are required. Bone marrow aspirate in tubes is preferred. Bone marrow aspirate clot may be included.    Additional Information: 1. All specimens, patient history, and requests should be clearly labeled with correct patient information and case number. Collection date and patient date of birth are required. 2. All specimens must be labeled with specimen type. 3. Although a complete pathology report is not expected, a preliminary pathology report is required in order to ensure that the specimen is known to a referring pathologist. 4. The name and phone number of the ordering pathologist and a brief history are essential to achieve a consultation fully relevant to the ordering physician's needs.    Specimen Type: Bone marrow aspirate slides Container/Tube: Transport in plastic slide holders Preferred: Fresh prep slides made at the time of sample collection Accept: Slides made from anticoagulated sample  Collection instructions:   1. Prepare slides of bone marrow aspirate immediately after collection or prepare slides from bone marrow aspirate in EDTA within 2 hours of collection. 2. If bone marrow units are sparse/absent or aspirate is a dry tap, make biopsy touch prep slides. 3. Air dry slides.  4. Send slides unfixed/unstained, or stained with Wright-Giemsa.   [NAME] Type: Bone marrow aspirate in anticoagulant for possible ancillary testing Container/Tube: EDTA, heparin, or ACD [NAME]: 5 mL in EDTA, 2-5 mL in ACD, or 2-3 mL in heparin tube  Collection instructions:   1. Aspirate per standard bone marrow collection procedure. 2. Do not transfer to other tubes or containers.   Specimen Type: Bone marrow core biopsy Container/Tube: Fixed biopsy core in saline solution for transport or fixed biopsy core embedded in paraffin block Collection instructions:   1. Process and embed core in paraffin if desired. 2. If processing at Mayo is desired, place biopsy core in 10% formalin immediately after collection. 3. Fix in 10% formalin for 1 to 2 hours. 4. Transfer core to container with saline, volume sufficient to cover core.   Specimen Type: Bone marrow aspirate clot Container/Tube: Bone marrow clot in 10% formalin or fixed clot embedded in paraffin block Collection instructions:  1. Place 0.5 mL bone marrow aspirate in clot tube. 2. After clot has formed, place clot in 10% formalin. 3. If embedding in paraffin, fix specimen, process and embed per your standard operating procedures. 4. If submitting to Mayo for possible processing and embedding, submit in container of 10% formalin.   Specimen Type: Peripheral blood slides and CBC Container/Tube: Transport in plastic slide holders. Preferred: Fresh prep fingerstick slide; include CBC values Acceptable: Slides made from whole blood in EDTA, made within 8 hours of collection Collection instructions:   1. Prepare good quality smear of even thickness from fingerstick. 2. Alternately prepare good quality smear from EDTA vial within 8 hours of collection. 3. Stain with Wrights-Giemsa or submit unstained and unfixed slides. |  | Note: No specimen should be rejected. If specimen not received at appropriate temperature or in wrong anticoagulant, include note to laboratory. If questions, contact laboratory. |  | Monday through Friday; varies | 3 days | 7 days | 1 |  |  |  |  |  | Rochester
70016 | [NAME] | VARIES | Varies |  |  |  | Ambient
70016 | Result | 70022 | Accession Number | Accession Number | Numeric
70016 | Result | 70023 | Referring Pathologist/Physician | Referring Pathologist/Physician | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6 | Primary referring physician ID:ID:Pt:Provider:Nom:
70016 | Result | 70024 | Ref Path/Phys Address | Ref Path/Phys Address | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | Result | 70025 | Final Diagnosis: | Final Diagnosis: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | Result | 70026 | Comment: | Comment: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | Result | 70034 | Microscopic Description: | Microscopic Description: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | Result | 70030 | Special Studies: | Special Studies: | Alphanumeric
70016 | Result | 70027 | Signing Pathologist: | Signing Pathologist: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:ID:Pt:Provider:Nom:
70016 | Result | 70028 | Specimen: | Specimen: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | Result | 70029 | Material: | Material: | Alphanumeric
70016 | Result | 70035 | Tissue Description: | Tissue Description: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | Result | 70031 | *Previous Report Follows* | *Previous Report Follows* | Alphanumeric
70016 | Result | 70032 | [NAME]: | [NAME]: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8 | Path report.addendum:Find:Pt:[NAME]:Nar:
70016 | Result | 70033 | [NAME] Comment: | [NAME] Comment: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
70016 | [NAME] | 82972 | Peripheral Blood Smear Examination ([NAME] Only) | Peripheral Blood Smear Examination |  |  |  |  |  |  | This test is for billing purposes only. This test is not an orderable test. Order 70016 / HemePath Consultation, Wet Tissue. | [NAME] Only |  | This test is for billing purposes only. This is not an orderable test. Order 70016 / HemePath Consultation, Wet Tissue. |  |  |  |  | Profile |  |  | No | No
82972 | [NAME] | BLOOD | Whole blood |  |  |  | Ambient
82972 | Result | 82972 | Peripheral Blood Smear Examination | Peripheral Blood Smear Examination | Alphanumeric
70016 | [NAME] | 9172 | Bone Marrow Biopsy Bill Only | Bone [NAME] | [NAME] Only | [NAME], leak proof vial: ScwLkPf |  |  |  | Varies | [NAME] Only This test is not an orderable test. Order 70016 HemePath Consultation, Wet Tissue. | [NAME] Only |  | [NAME] Only |  |  |  |  | Profile |  |  | No | No
9172 | [NAME] | BNMARW | Bone Marrow |  |  |  | Ambient
9172 | Result | 9172 | Bone Marrow fix sect | Bone Marrow fix sect |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 9196 | Bone Marrow Aspirate ([NAME] Only) | Bone Marrow Aspirate | [NAME] Only |  |  |  |  |  | [NAME] Only This test is not an orderable test. Order 70016 HemePath Consultation, Wet Tissue. | [NAME] Only |  | [NAME] Only |  |  |  | 1 | 85097 |  |  | No | No
9196 | [NAME] | BNMARW | Bone Marrow |  |  |  | Ambient
9196 | Result | 9196 | Bone Marrow Aspirate | Bone Marrow Aspirate | Alphanumeric
70016 | [NAME] | 61648 | HemePath, Level I, Gross Exam | HemePath, Level I, Gross Exam |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. |  |  |  | 1 | 88300 |  |  | No | No
61648 | [NAME] | VARIES | Varies |  |  |  | Ambient
61648 | Result | 61648 | HemePath, Level I, Gross Exam | HemePath, Level I, Gross Exam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61649 | HemePath, Level II, Wet Tissue | HemePath, Level II, Wet Tissue |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. |  |  |  | 1 | 88302 |  |  | No | No
61649 | [NAME] | VARIES | Varies |  |  |  | Ambient
61649 | Result | 61649 | HemePath, Level II, Wet Ts | HemePath, Level II, Wet Ts | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61661 | HemePath, Level III, Wet Tissue | HemePath, Level III, Wet Tissue |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. |  |  |  | 1 | 88304 |  |  | No | No
61661 | [NAME] | VARIES | Varies |  |  |  | Ambient
61661 | Result | 61661 | HemePath, Level III, Wet Ts | HemePath, Level III, Wet Ts | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61662 | HemePath, Level IV, Wet Tissue | HemePath, Level IV, Wet Tissue |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. |  |  |  | 1 | 88305 |  |  | No | No
61662 | [NAME] | VARIES | Varies |  |  |  | Ambient
61662 | Result | 61662 | HemePath, Level IV, Wet Ts | HemePath, Level IV, Wet Ts | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61663 | HemePath, Level V, Wet Tissue | HemePath, Level V, Wet Tissue |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. |  |  |  | 1 | 88307 |  |  | No | No
61663 | [NAME] | VARIES | Varies |  |  |  | Ambient
61663 | Result | 61663 | HemePath, Level V, Wet Ts | HemePath, Level V, Wet Ts | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61664 | HemePath, Level VI, Wet Tissue | HemePath, Level VI, Wet Tissue |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. |  |  |  | 1 | 88309 |  |  | No | No
61664 | [NAME] | VARIES | Varies |  |  |  | Ambient
61664 | Result | 61664 | HemePath, Level VI, Wet Ts | HemePath, Level VI, Wet Ts | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61123 | [NAME], Outside Slide | [NAME], Outside Slide |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. | Monday through Friday; Varies |  |  | 1 | 88321 |  |  | No | No
61123 | Result | 61123 | [NAME], Outside Slide | [NAME], Outside Slide | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61124 | [NAME], with Slide Prep | [NAME], w/Slide Prep |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. | Monday through Friday; Varies |  |  | 1 | 88323 |  |  | No | No
61124 | [NAME] | VARIES | Varies |  |  |  | Ambient
61124 | Result | 61124 | [NAME], w/Slide Prep | [NAME], w/Slide Prep | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 62373 | [NAME], with USS Prof. | [NAME], w/USS Prof |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. |  |  |  | 1 | 88323 |  |  | No | No
62373 | [NAME] | VARIES | Varies |  |  |  | Ambient
62373 | Result | 62373 | [NAME], w/USS Prof | [NAME], w/USS Prof | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
70016 | [NAME] | 61125 | [NAME], with Comprehensive Review of History | [NAME], w/Comp Rvw of His |  |  |  |  |  |  |  |  |  | This request will be processed as a consultation. An interpretive report will be provided. | Monday through Friday; Varies |  |  | 1 | 88325 |  |  | No | No
61125 | [NAME] | VARIES | Varies |  |  |  | Ambient
61125 | Result | 61125 | [NAME], w/Comp Rvw of His | [NAME], w/Comp Rvw of His | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process