Tissue, Gross and Microscopic Examination with a Concern for Gout


Abbrev Code:SRGPTH   
Order Code:LAB4613Order Name:Pathology Exam
Synonyms:Uric Acid Crystals; Gout, Surgical Pathology Examination
CPT Codes: 88300 x1, 88302 x1, 88304 x1, 88305 x1, 88307 x1, 88309 x1, 88300-26 x1, 88302-26 x1, 88304-26 x1, 88305-26 x1, 88307-26 x1, 88309-26 x1
Test Includes:Bone and/or calcified specimens require demineralization at an additional charge.
Turnaround Time:Performed Mon-Fri; 0800-1600.
Special Instructions:At UMMC, East and West Banks:  Same day Rush processing when specimen is received in laboratory by 1200 pm. On weekends and holidays, contact fellow/resident on call through the hospital page operator (Search: Surgical Pathology Primary On Call UMMC). Routine results are reported within 1-2 days; tissues requiring special stains and other procedures may take longer. Provide clincal history, surgical findings and exact location, duration and description of each lesion submitted on request form.
Associated Links:

Cancer Panels Algorithm



Collection Instructions

Specimen:Specimens which only require gross examination include: calculi, foreign bodies or intraocular lens. See entity policy for specimens exempt from mandatory pathology examination.
Optimal Volume:Entire intact specimen.
Container:See Collection Instructions
Collection Instructions:Cases with a concern for gout collected at any hospital, clinic or OR must be placed into 95% or 100% alcohol. The volume of alcohol should be 10-15 times the volume of the tissue.

Specimens collected in Patient Care Units and Clinics: When a special study is contemplated such as enzyme histochemistry, electron microscopy, immunohistochemistry, tissue culture, or biochemical determination, contact pathologist-on-all to identify the appropriate technique and fixative for the procedure. Some specimens for special procedures must be hand-delivered.

Specimens collected in the Operating Room: If no further studies are needed and/or no frozen sections are requested, place specimen immediately into 95% or 100% alcohol. The volume of alcohol should be 10-15 times the volume of the tissue.

When a frozen section is requested, and/or the specimem requires discussion with the surgeon for proper orientation, deliver the specimen fresh to the Surgical Pathology Laboratory.

When portions of a resected specimen are required for investigative studies (electron microscopy, tissue culture, immunology research, etc.) the specimen should be delivered first to Surgical Pathology. The patholgist or pathologist's assistant will, upon request, provide segments of the specimen for special studies.

When a culture must be taken from a specimen, it should be performed in the Operating Room where a sterile field exists before delivering the specimen to the laboratory.


Processing and Shipping

Specimen Processing:Specimens placed into alcohol can be stored at room temperature.
Shipping Instructions:Specimens placed into alcohol can be sent routine with other surgial pathology specimens.
Test Performed at or Referral Lab Anatomic Pathology, West Bank  (Lakes, Northland, Ridges, Southdale, UMMC East Bank, UMMC/UMMCH-West Bank)


Interpretive

Use:Histologic diagnosis of benign, malignant or infectious proccesses.


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