Special Instructions

The physician may directly request the necessary material from an outside hospital or laboratory, or may ask Surgical Pathology to initiate the request. When requesting outside material, request a copy of the pathology report. Provide written verification identifying the slides as belonging to the patient.

Test Includes

Review of anatomic pathology slides prepared elsewhere.

Turnaround Time

Performed Mon-Fri, 0800-1600; results are reported within 2-3 days; when rush, reviewed upon receipt.

Specimen Type

Microscopic slides prepared elsewhere; consulting pathologists may request paraffin blocks from referring institution when additional studies are deemed necessary.

Collection Containers

Microscope slides

Specimen Preparation

Store at room temperature.

Shipping Instructions

Ship in slides in protective holder at room temperature.

Containers

Microscope Slide

Reference Interval

Comprehensive consultation provided by pathologist.

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPTQtyHC HospitalPR ClinicNote
8832118832101PR CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL
88323131088323018832301PR CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE
8832318832301PR CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL
883251252PR CONSLTJ&REPRT MATERIAL REQUIRING PREPJ SLIDES
8832518832501PR LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM

MRL Test Build

Test NameComponentRequiredDescriptionTypeLOINC
LAB4814  Pathology ConsultOrderable 
 158962YReason for ConsultPrompt 
 158963 Date report needed by (mm/dd/yyyy):Prompt 
 158964 Material submitted/received:Prompt 
 158965 Original Case IDPrompt 
 174026YSource of specimen(s):Prompt 
 QUE_9HISTYClinical remarksPrompt 
 1230000993 Case ReportResult22638-1
 1230000994 AddendumResult35265-8
 1230000995 Addendum 2Result35265-8
 1230000996 Addendum 3Result35265-8
 1230000997 Addendum 4Result35265-8
 1230000998 Addendum 5Result35265-8
 1230001009 Final DiagnosisResult22637-3
 1230001010 CommentResult22638-1
 1230001011 Clinical InformationResult22636-5
 1230001012 Synoptic ChecklistResult60568-3
 1230001014 Microscopic DescriptionResult22635-7
 1230001015 AmendmentResult22638-1
 1230001016 Flow Cytometry SummaryResult22639-9
 1230001017 Cytogenetics SummaryResult22639-9
 1230001018 Molecular Diag SummaryResult22639-9
 1230001019 Special StainsResult22635-7
 1230001021 DisclaimerResult22638-1
 1230001502 Gross DescriptionResult22634-0
 1230001715 Materials SubmittedResult22633-2
 1230001716 Original Case IDResult22636-5
 1230005209 Location of Remote SignoutResult90119-9
 1230006574 MCRS (Mn Cancer Rpt Sys)Result22638-1
 1230008753 Technical Processing StatementResult22638-1

Data Type / Multiple Choice Response

158962
Patient being treated at M Health Fairview|Second opinion|Other
158963 Free Text
158964 Free Text
158965 Free Text
174026 Free Text
Consult Slide|Other|Block(s)|Block(s) and Slide(s)
QUE_9HIST Free Text

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Ordering

Special Instructions

The physician may directly request the necessary material from an outside hospital or laboratory, or may ask Surgical Pathology to initiate the request. When requesting outside material, request a copy of the pathology report. Provide written verification identifying the slides as belonging to the patient.

Test Includes

Review of anatomic pathology slides prepared elsewhere.

Turnaround Time

Performed Mon-Fri, 0800-1600; results are reported within 2-3 days; when rush, reviewed upon receipt.
Collection & Processing

Specimen Type

Microscopic slides prepared elsewhere; consulting pathologists may request paraffin blocks from referring institution when additional studies are deemed necessary.

Collection Containers

Microscope slides

Specimen Preparation

Store at room temperature.

Shipping Instructions

Ship in slides in protective holder at room temperature.
Containers

Containers

Microscope Slide

Result Interpretation

Reference Interval

Comprehensive consultation provided by pathologist.
Administrative

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPTQtyHC HospitalPR ClinicNote
8832118832101PR CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL
88323131088323018832301PR CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE
8832318832301PR CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL
883251252PR CONSLTJ&REPRT MATERIAL REQUIRING PREPJ SLIDES
8832518832501PR LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM
Interface Mapping

MRL Test Build

Test NameComponentRequiredDescriptionTypeLOINC
LAB4814  Pathology ConsultOrderable 
 158962YReason for ConsultPrompt 
 158963 Date report needed by (mm/dd/yyyy):Prompt 
 158964 Material submitted/received:Prompt 
 158965 Original Case IDPrompt 
 174026YSource of specimen(s):Prompt 
 QUE_9HISTYClinical remarksPrompt 
 1230000993 Case ReportResult22638-1
 1230000994 AddendumResult35265-8
 1230000995 Addendum 2Result35265-8
 1230000996 Addendum 3Result35265-8
 1230000997 Addendum 4Result35265-8
 1230000998 Addendum 5Result35265-8
 1230001009 Final DiagnosisResult22637-3
 1230001010 CommentResult22638-1
 1230001011 Clinical InformationResult22636-5
 1230001012 Synoptic ChecklistResult60568-3
 1230001014 Microscopic DescriptionResult22635-7
 1230001015 AmendmentResult22638-1
 1230001016 Flow Cytometry SummaryResult22639-9
 1230001017 Cytogenetics SummaryResult22639-9
 1230001018 Molecular Diag SummaryResult22639-9
 1230001019 Special StainsResult22635-7
 1230001021 DisclaimerResult22638-1
 1230001502 Gross DescriptionResult22634-0
 1230001715 Materials SubmittedResult22633-2
 1230001716 Original Case IDResult22636-5
 1230005209 Location of Remote SignoutResult90119-9
 1230006574 MCRS (Mn Cancer Rpt Sys)Result22638-1
 1230008753 Technical Processing StatementResult22638-1

Data Type / Multiple Choice Response

158962
Patient being treated at M Health Fairview|Second opinion|Other
158963 Free Text
158964 Free Text
158965 Free Text
174026 Free Text
Consult Slide|Other|Block(s)|Block(s) and Slide(s)
QUE_9HIST Free Text

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Private Details