Home
HelpTest Code LAB68 Bone Marrow, Routine, Biopsy and/or Smears
Additional Codes
| Test Name in EPIC | EPIC Test Code | Mnemonic |
|---|---|---|
| BONE MARROW | LAB68 | BONE MARROW |
Useful For/Utility
Bone marrow aspiration and biospy. Useful for detecting suspected underlying hematological disorders based on clinical and/or laboratory data. Bone Marow can also be used in staging of lymphoma and identifying metastases on non-hematologic malignancies.
Methodology
Includes differential, interpretative report, and iron stain.
For additional tests, extra specimen is required.
Clinical Information
Bone marrow specimens are evaluated and interpreted by a pathologist. Routine examination includes a differetnial, iron stain, and interpretative report. Cytogenetic and molecular studies are reported as an addedum to the routine bone marrow examination. Flow cytometry results are reported separately.
Specimen Requirements
For SMDC, Miller Dwan, and Duluth Clinic Main patients, this test must be scheduled in advance. Call Special Hematology at 218-786-4514 Extension 13502 to schedule.
Hematologist will bring all necessary equipment to the examination room and order the appropriate test(s).
Specimen Type: Biopsy
Container/Tube: Sterile container
Specimen Volume: Slide
Collection Instructions:
1. Make several imprint slides. If biopsy is bloody, drain on gauze before making imprints.
2. Place biopsy into B+ fixative or 10% buffered formalin container.
Additional Information:
1. Label container with patient’s name (first and last), date and actual time of collection, and specimen source.
2. Include peripheral blood smear and counts, if available.
3. Specimen source/site, clinical indication for bone marrow, and test(s) desired are required.
Specimen Type: Smear
Container/Tube: Sterile container and lavender top (EDTA), a yellow top (ACD), or a green top (heparin)
Specimen Volume: Slide and aspirate
Collection Instructions:
1. Aspirate is collected by physician.
2. Using a pencil, label frosted end of slides with patient’s name (first and last), date and actual time of collection, and specimen source.
3. Aspirate bone marrow and make 4 to 6 direct smears from aspirate.
4. Place remaining aspirate in tube. Mix 8 to 10 times to facilitate mixing and prevent clotting.
Additional Information:
1. Label container/tube with patient’s name (first and last), date and actual time of collection, and specimen source.
2. Include peripheral blood smear and counts, if available.
3. Specimen source/site, clinical indication for bone marrow, and test(s) desired are required.
Day(s) Test Set Up
Monday through Friday (day shift only)
Performing Laboratory
Special Hematology
Central Region: St. Joseph's Medical Center Lab
East Region: SMDC Clinical Lab, Spooner Clinic Lab
West Region: Fargo Hospital Lab, South University Clinic Lab, St. Mary's - Detroit Lakes Hospital Lab
Test Classification and CPT Coding
88305-Surgical pathology, gross and microscopic
88311-Decalcification
Specimen Requirements Additional Information
If bone marrow is being collected off-site and will be transported by courier to SMDC Main Laboratory, place biopsy into a separate biohazard bag. Send slides and tube of aspirate in another biohazard bag. Complete the requisition indicating site of aspiration, clinical indication for bone marrow, and tests desired. Send a peripheral blood smear and counts if available.
Reference Values
An interpretive report will be provided.