Bone Marrow Pathology ConsultationTest Code BMP P Associations Hematologic Malignancies Methodology Microscopic evaluation of bone marrow biopsy/clot prep (H&E) and peripheral / aspirate smears; additional stains as required (iron, immunohistochemistry) CPT Codes Depending on the services rendered: 88321 – Surgical pathology consultation on previously prepared slides 88323 – Surgical pathology consultation on tissue blocks or unstained slides 88325 – Surgical pathology consultation – Comprehensive with review of records and specimens 88313 xn – Special stain 88342 xn – Immunohistochemistry Turnaround Time 2-4 days Specimen Requirements
Specimen Stability Slides or tissue blocks, stable indefinitely at 18-25°C Storage & Handling Causes for Rejection Improper specimen labeling; Inadequate marrow for evaluation; Improper sample submission Reference Range Active cellular marrow; No cells diagnostic of malignancy Related Content Cytogenetics; FISH; Flow Cytometry; Immunohistochemistry; Gene rearrangements; Quantitative PCR; Special Stains
Description A board-certified hematopathologist / pathologist evaluates bone marrow morphology for malignancy, dysplasia and non-neoplastic disease. Submission of peripheral smears and CBC data are required for optimal interpretations. Results of flow cytometric, immunohistochemical, cytogenetic or molecular analyses, when performed, are integrated in the final report. References Foucar. (2001). Bone Marrow Pathology 2nd Edition. ASCP Press. |