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CDx Laboratory Services

CDx Diagnostics provides cytology, histology, histocytology, and immunohistochemistry assessments in evaluating specimens for abnormalities in order to assist medical professionals in preventing the development of cancer.

Licenses and Accreditation

CDx Diagnostics is licensed by the New York State laboratory licensure program and is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA 88). In addition, CDx Diagnostics' Laboratories are accredited by the College of American Pathologists (CAP).

 

Cytopathology & Histopathology – Analysis of disaggregated tissue specimens

Histopathology – Analysis of intact biopsy specimens

 

CPT Code(s) can include one or more of the following

CPT Code(s) varies based on complexity of case as follows:

88104 – Cytopathology – fluids, washings and brushings

88305 – Level IV surgical pathology, gross and microscopic examination

88312 – Special stains

88361 – Computer assisted immunohistochemistry. Immunohistochemistry can include CDX2, MUC2, AMACR, P16, P53, KI67, HSV, H.pylori

CPT Code(s) varies based on complexity of case as follows:

88305 – Level IV surgical pathology, gross and microscopic examination

88312 – Special stains

88361 – Computer assisted immunohistochemistry Immunohistochemistry can include CDX2, MUC2, AMACR, P16, P53, KI67, HSV, H.pylori

Test Includes

Preparation of each submitted sample and pathologist’s microscopic interpretation.

The fee for service will vary depending upon the number of specimens submitted, the size and complexity of the specimen and difficulty of diagnosis.

IHC Immunohistochemistry stains may be ordered at the discretion of the pathologist.

These services will be performed at an additional charge. Note: at times, pathologists may request additional reflexive testing, resulting in additional codes and billing.

Preparation of each submitted sample and pathologist’s microscopic interpretation.

The fee for service will vary depending upon the number of specimens submitted, the size and complexity of the specimen and difficulty of diagnosis.

IHC Immunohistochemistry stains may be ordered at the discretion of the pathologist.

These services will be performed at an additional charge. Note: at times, pathologists may request additional reflexive testing, resulting in additional codes and billing.

Use

Cytopathology and Histopathology diagnosis

Histopathology diagnosis

Collection Method

Transepithelial cytology, Tumor cytology

Forceps, punch biopsy

Preferred Specimen(s)

Specimen Collection and Handling Instructions.

Provide all patient information using the Tissue Pathology requisition form.

Specimen Collection and Handling Instructions.

Provide all patient information using the Tissue Pathology requisition form.

Transport Temperature

Room temperature. Do not freeze.

Room temperature. Do not freeze.

Specimen Stability

Extended period, once tissue is alcohol or formalin fixed.

Extended period, once tissue is formalin fixed.

Reject Criteria

• Unlabeled container(s)

• Leakage of sample during transport

• Mismatch between name of patient on container(s) and name on test requisition. Each specimen must be labeled with two forms of patient identification.

• Specimen is not placed in alcohol or formalin.

• Unlabeled container(s)

• Leakage of sample during transport

• Mismatch between name of patient on container(s) and name on test requisition

• Specimen is not placed in alcohol or formalin.

Methodology

Computer-Assisted Cytopathology, Histopathology, and Immunohistochemistry

Computer-Assisted Histopathology and Immunohistochemistry

Performing Laboratory

CDx Diagnostics, NY

CDx Diagnostics, NY

Setup Days

Weekdays

Weekdays

Report Available

Variable, depending upon specimen complexity

Variable, depending upon specimen complexity

Clinical Significance

The nature of underlying disease states can often be detected by microscopically visualizing cytologic and histologic changes in tissue specimens.

The nature of underlying disease states can often be detected by microscopically visualizing histologic changes in biopsy specimens.

 

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

 

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