Test Code 90532 Cytology, Spinal Fluid
Performing Laboratory
Billings Clinic Laboratory
Methodology
Includes slide preparation and microscopic cytologic examination.
Useful for the diagnosis of primary or metastatic neoplasms; can aid in the diagnosis of certain infectious processes.
Specimen Requirements
It is recommended that the last tube collected be used for cytologic evaluation. This is to avoid possible blood contamination from the tap.
1. Collect 5 mL (minimum volume: 1 mL) of spinal fluid.
2. If possible, make two air dried cytospins within 1 hour of collection. Cytospins produce optimal cytologic detail for diagnostic evaluation. The cytospins are submitted unstained.
3. The remainder of the specimen may be submitted in cytolyte .
3. Label specimen appropriately (patient’s name, history number, and specimen source) on the container—not the lid.
Note: Please complete a “Reference Pathology/Non-Gynecologic Cytology Request Form” in “Request Forms” in “Special Instructions” including specimen source and all pertinent clinical data (clinical symptoms, history of malignancy, chemotherapy, radiation therapy, and tentative diagnosis), and forward it with the specimen.
Reference Values
Descriptive diagnosis of microscopic findings are generally categorized as positive, inconclusive, or negative for malignancy.
Nondiagnostic or unsatisfactory results are given when material is inadequate for a diagnostic interpretation.
Day(s) Test Set Up
Monday through Friday
Test Classification and CPT Coding
Varies