Test ID: 9354    
Cytology Consultation, Miscellaneous

Forms: If not ordering electronically, submit a Pathology/Cytology Request Form (Supply T246) with the specimen.

The following information is required:

1. Specimen containers must be labeled with a minimum of 2 unique identifiers (patient’s name and clinic number).

2. Specimen containers must be accompanied by an acceptable cytology request form including:

a. Patient’s name

b. Patient’s medical record number

c. Patient’s date of birth and sex

d. Specimen source including exact location and procedure used

e. Date specimen was taken

f. Requesting physician’s name/pager number

g. Pertinent history or clinical information

3. Every glass slide must have proper identification. Two identifiers (patient name and medical record number) are preferred.

Container/Tube: Plastic slide container or plastic block container

Specimen Volume: Stained slide or block

Additional Information: Special stains performed outside Mayo Medical Laboratories and included with the case may be repeated and charged at the reviewing pathologist's discretion. In addition, testing requested by referring physician (immunostains, molecular studies, etc.) may not be performed if deemed unnecessary by Mayo pathologist. For all cytology consultations, auxiliary testing is ordered at the discretion of the Mayo pathologist.