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 Name Component Required Description Type LOINC
LAB4814     Pathology Consult Orderable  
  158962 Y Reason for Consult Prompt  
  158963   Date report needed by (mm/dd/yyyy): Prompt  
  158964   Material submitted/received: Prompt  
  158965   Original Case ID Prompt  
  174026 Y Source of specimen(s): Prompt  
  QUE_9HIST Y Clinical remarks Prompt  
  1230000993   Case Report Result 22638-1
  1230000994   Addendum Result 35265-8
  1230000995   Addendum 2 Result 35265-8
  1230000996   Addendum 3 Result 35265-8
  1230000997   Addendum 4 Result 35265-8
  1230000998   Addendum 5 Result 35265-8
  1230001009   Final Diagnosis Result 22637-3
  1230001010   Comment Result 22638-1
  1230001011   Clinical Information Result 22636-5
  1230001012   Synoptic Checklist Result 60568-3
  1230001014   Microscopic Description Result 22635-7
  1230001015   Amendment Result 22638-1
  1230001016   Flow Cytometry Summary Result 22639-9
  1230001017   Cytogenetics Summary Result 22639-9
  1230001018   Molecular Diag Summary Result 22639-9
  1230001019   Special Stains Result 22635-7
  1230001021   Disclaimer Result 22638-1
  1230001502   Gross Description Result 22634-0
  1230001715   Materials Submitted Result 22633-2
  1230001716   Original Case ID Result 22636-5
  1230005209   Location of Remote Signout Result 90119-9
  1230006574   MCRS (Mn Cancer Rpt Sys) Result 22638-1
  1230008753   Technical Processing Statement Result 22638-1

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 Name Component Required Description Type LOINC
LAB4814     Pathology Consult Orderable  
  158962 Y Reason for Consult Prompt  
  158963   Date report needed by (mm/dd/yyyy): Prompt  
  158964   Material submitted/received: Prompt  
  158965   Original Case ID Prompt  
  174026 Y Source of specimen(s): Prompt  
  QUE_9HIST Y Clinical remarks Prompt  
  1230000993   Case Report Result 22638-1
  1230000994   Addendum Result 35265-8
  1230000995   Addendum 2 Result 35265-8
  1230000996   Addendum 3 Result 35265-8
  1230000997   Addendum 4 Result 35265-8
  1230000998   Addendum 5 Result 35265-8
  1230001009   Final Diagnosis Result 22637-3
  1230001010   Comment Result 22638-1
  1230001011   Clinical Information Result 22636-5
  1230001012   Synoptic Checklist Result 60568-3
  1230001014   Microscopic Description Result 22635-7
  1230001015   Amendment Result 22638-1
  1230001016   Flow Cytometry Summary Result 22639-9
  1230001017   Cytogenetics Summary Result 22639-9
  1230001018   Molecular Diag Summary Result 22639-9
  1230001019   Special Stains Result 22635-7
  1230001021   Disclaimer Result 22638-1
  1230001502   Gross Description Result 22634-0
  1230001715   Materials Submitted Result 22633-2
  1230001716   Original Case ID Result 22636-5
  1230005209   Location of Remote Signout Result 90119-9
  1230006574   MCRS (Mn Cancer Rpt Sys) Result 22638-1
  1230008753   Technical Processing Statement Result 22638-1

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