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UW Health SMPH

UW Hospital and Clinics Lab Test Directory

Test Name: Cytology, Sputum

Test Code(s): HCPATHM

CPT Code(s): 88112

Request Form: Cytopathology (UWH 1280520A)

Days Performed: Mon-Fri, 0800-1700.

Turnaround Time: Routine: 1 - 2 days.


Specimen Requirements

Specimen: Sputum

Patient Preparation: Prior to collecting the sputum sample, instruct the patient to clear the throat of postnasal secretions, gargle and rinse the mouth to remove food residue.

Collection Instructions: Early morning sputum specimens yield the greatest number of diagnostic cells. Submit 3 consecutive daily sputum specimens in separate labeled containers.  ALL SPECIMENS MUST BE SUBMITTED FRESH WITHOUT THE ADDITION OF FIXATIVE OR ANTICOAGULANT.

Collection Container: Preferred: Sterile screw cap container

Volume Required: Preferred: 5 - 15 mL

Specimen Transport: Place specimen inside a biohazard bag with the request form in the outside pocket of the bag. Transport specimen to UWHC Core Laboratory (B4/220) within 1 hour of collection.

Outreach Specimen Transport: Refrigerate specimen following collection. Transport with coolant pack; avoid freezing.

Unacceptable Criteria: Addition of fixative or anticoagulant.

Stability: Ambient: 4 hours
Refrigerated: 72 hours
Frozen: Not Acceptable


Interpretation

Report provides interpretation.  Contact UWHC Cytology Lab at (608) 263-3205 for further information.

Test Limitations:

The patient must be able to produce a deep cough specimen. If pulmonary macrophages ("dust cells") are not confirmed microscopically, the specimen is considered unsatisfactory for diagnosis. Abnormal findings must be correlated with history and other test results.

Additional Information:

Paperwork must include the patient's name, medical record number, date of birth, specimen source, collection date, clinic and phone number, clinician's full name and pager number, and pertinent clinical history.

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