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Test Code PATHFISH Pathology FISH Bladder Cancer Request

Additional Codes

Cerner:

Test Code Test Name
  Pathology FISH Bladder Cancer Request

Note:  Electronic ordering available through Cerner system only.

Specimen Requirements

Preparation of Patient:

Monday - Thursday collection only

 

Container Type:

Neogenomics Bladder Cancer Collection Kit (NMSA Item #91598)

 

Specimen Type:

Voided Urine

 

Specimen Volume:

60 mL voided urine 

 

Specimen Handling/Transport:  

  1. Within 30 minutes of collection mix voided urine 2:1 with supplied PreservCyt for total volume 90mL
  2. Label specimen container with LIS Test label and/or two patient identifiers (legal first/last name and date of birth) and collection date/time. 
  3. Maintain specimen at refrigerated temperature.  When ready for courier transport, place specimen in foam transport with cool pack from freezer. Be sure to not let the cool pack touch the specimen.  Place in transport bag with copy of registration and order requisition in pocket and remove air.  Place in transport box for courier pick up to Munson Medical Center Anatomic Pathology laboratory. 
  4. If onsite at Munson Medical Center, no transport box is necessary between 7am - 4pm, specimen can be sent through the pneumatic tube system to Cytology.  For after hours or receiving in Histology laboratory, store specimen in Cytology specimen refrigerator and notify Pathology department asisstants.

 

Specimen Stability/Storage:

Refrigerate specimen. Do not freeze. Use cold pack for transport, making sure cold pack is not in direct contact with specimen

 

Specimen Rejection:

If unable to meet specimen requirements refer to FUROC - Overview: UroVysion for Detection of Bladder Cancer, Urine

Performing Laboratory

Munson Medical Center - Pathology

Tech Only- performed via Neogenomics Laboratory

Test Priority, Frequency, Turnaround

Priority:

Non-Emergent

 

Frequency:

Monday - Thursday collection

 

Turnaround Time:

7 - 10 business days

Methodology

FISH

Probes: +3 (Cen 3) | +7 (Cen 7) | p16 (9p21) | +17 (Cen 17)

Reporting

Reference Range:

Negative

 

Critical Decision:

None

Clinical Significance

Useful in the diagnosis of bladder cancer, monitoring recurrence and progression of patients with a history of bladder cancer, and evaluating equivocal cytology results (atypical or suspicious for malignancy).  

CPT Code(s)

88121