Spreadsheet: 16b575a2-6e92-435d-b00a-856ac4c8fb94
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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
8041 | Test | 8041 | Cutaneous Immunofluorescence, Biopsy | Cutaneous Immunofluorescence, Bx | Direct Immunofluorescence Staining of Cryostat-Prepared Skin Biopsy Sections for IgG, IgM, IgA, [NAME], and [NAME] | Varies: Var |  |  | 4 | [NAME] | Forms: If not ordering electronically, submit a Dermatopathology/Immunodermatology Request Form (Supply T060) with the specimen.  Biopsy site; whether biopsy was obtained from sun-exposed vs. unexposed skin; whether it is from perilesional, involved, or uninvolved skin; and date of collection are required.   Specimen Type: Tissue Sources: Skin, oral mucosa, conjunctiva, or esophagus   Two or more biopsies from same site and sent in 1 specimen vial will be processed as 1 specimen. Two or more biopsies from different sites require separate orders and separate specimen vials.   Transport Medium Method Container/Tube: Transport medium (Michels or [NAME] media) (Supply T321) [NAME]: 4 mm Collection Instructions: 1. Collect punch biopsy of uninvolved or involved skin as per complete instructions in Collection and Transport in Cutaneous Immunofluorescence Testing in Special Instructions. 2. Skin or mucosal specimen can be sent. 3. Immediately drop specimen into provided vial of transport medium and seal tightly.  Specimen Stability Information: Ambient (preferred)/Refrigerated  Additional Information: The practical value of using transport medium is recognized for direct immunofluorescence testing.   Snap-Frozen Method Container/Tube: Plastic vial [NAME]: 4 mm Collection Instructions: 1. Collect punch biopsy of uninvolved or involved skin as per complete instructions in Collection and Transport in Cutaneous Immunofluorescence Testing in Special Instructions. 2. Skin or mucosal specimen can be sent. 3. Immediately drop specimen into liquid nitrogen and allow to freeze thoroughly (do not allow specimen to desiccate). If liquid nitrogen is not available, specimen may be frozen by placing it on a small square of aluminum foil on a block of dry ice. Liquid nitrogen is preferred. 4. Immediately wrap specimen carefully in aluminum foil. At no time should the specimen be allowed to thaw. Wrap as you would a party favor or a piece of taffy candy. 5. Place the wrapped specimen into the pre-labeled plastic vial and seal tightly. Specimen Stability Information: Frozen |  | Hemolysis	NA Thawing	Warm reject; Cold reject  Lipemia	NA Icterus	NA Other	[NAME] fixed in formalin | Report includes description and interpretation of staining patterns. See Results of IF Testing in Cutaneous Immunofluorescence Testing in Special Instructions. | Monday through Friday; 7 a.m.-5 p.m. | 2 days (not reported on Saturday or Sunday) | 3 days |  | Profile |  |  |  |  | Rochester
8041 | [NAME] | TISSUE | Tissue |  |  |  | See instructions
8041 | Order Question | Q0000038 | Biopsy site? |  | Plain Text
8041 | Order Question | Q0000176 | Clinical Impression: |  | Plain Text
8041 | Result | 18603 | Accession Number | Accession Number
8041 | Result | 18604 | Referring Pathologist/Physician | Referring Pathologist/Physician |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6 | Primary referring physician ID:ID:Pt:Provider:Nom:
8041 | Result | 18605 | Ref Path/Phys Address | Ref Path/Phys Address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8041 | Result | 18606 | Anatomic Site of Tissue: | Anatomic Site of Tissue: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39111-0 | Body site:[NAME]:Pt:^Patient:Nom:
8041 | Result | 18607 | Clinical Impression: | Clinical Impression: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
8041 | Result | 18285 | Tissue: | Tissue: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
8041 | Result | 18609 | Interpretation: | Interpretation: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8041 | Result | 18608 | Comment: | Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
8041 | Result | 18610 | SP Signing Pathologist: | SP Signing Pathologist:
8041 | Result | 18611 | *Previous Report Follows* | *Previous Report Follows*
8041 | Result | 18612 | [NAME]: | [NAME]: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8 | Path report.addendum:Find:Pt:[NAME]:Nar:
8041 | Result | 19191 | [NAME] Comment: | [NAME] Comment: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
8041 | Result | 18613 | [NAME] Pathologist: | [NAME] Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:ID:Pt:Provider:Nom:
8041 | Billing Component | 8041 |  | Direct Immuno Study, [NAME] |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 | 88346
8041 | Billing Component | 8041 |  | Path Consultation,Report |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88323