Bone Marrow Aspirate and Trephine Biopsy, Collection and Morphology


Sunquest Code:BMSPHCoPath Code:MARR
Epic Code:LAB6  
Sunquest Code (non-Epic sites):COPATH  
Synonyms:Trephine Biopsy with Bone Marrow Collection; Biopsy, Bone Marrow Aspirate/Trephine
Methodology:Aspiration, biopsy collection and microscopic analysis by pathologist
CPT Code:----------CPTCODES HERE----------
Test Includes:Collection of bone marrow aspirate and/or trephine biopsy. Examination of bone marrow aspirate and/or trephine biopsy, and peripheral blood smears.
Turnaround Time:Preliminary results are available in 24 hours. Final results are reported within 48 hours.
Special Instructions:When scheduling, indicate requested specimen (aspirate and/or trephine biopsy), cultures or special testing orders (FISH and Chromosome analysis. Process and hold DNA. Leukemia lymphoma evaluation, etc.). Provide a clinical history including a list of current medications. For emergent or after hour procedures contact the on-call hematopathology fellow or patholgist on call


Collection Instructions

Specimen:Bone marrow and peripheral blood
Optimal Volume:2-5 mL of bone marrow (in EDTA) and 1-2 cm of bone marrow core (trephine) in fixative.
Minimum\Peds Volume:0.3 mL aspirate (in EDTA)
Patient Preparation:A physician will explain the procedure, obtains consent, and performs an aseptic collection procedure.
After Care:Instruct patient to lie on site of biopsy for 20-30 minutes. Keep the biopsy site dry for 24 hoursand follow any additional physician's directions.
Contraindications:Hemophiliacs and patients on anticoagulants should be properly prepared. Patients sensitive to local anesthetics should be identified.


Processing and Shipping

Test Performed at or Referral Lab Hematopathology  (UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH)


Interpretive

Reference Range:Interpretive report by hematopathologist or pathologist.
Use:Evaluation of patients with suspected disorders of the hematopoietic system including all forms of leukemia, anemia, lymphoma, myeloma and metastatic malignancies. Nonmalignant disorders in which bone marrow biopsies are appropriate are suspected infectious processes (culture and examine for granulomas) and inherited metabolic disorders.


Click HERE to Report test errors or omissions.
*If no email program is associated with this computer, please contact:
systemlabguide@fairview.org for TestID: 1073"