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Test ID MBX Muscle Pathology Consultation


Advisory Information


This test is not appropriate for inhalation-transmission diseases such as tuberculosis, Brucella, measles, and varicella zoster. This test is also not appropriate for suspected Creutzfeldt-Jacobs Disease (CJD).



Additional Testing Requirements


Biopsies from different sites require separate orders and separate specimen vials.



Necessary Information


Failure to provide this information may delay the specimen processing significantly.

 

1. Collection date and patient date of birth are required.

2. The name and phone number of the ordering physician and a brief history are essential to achieve a consultation fully relevant to the ordering physician's needs.

3. The Muscle Histochemistry Patient Information sheet (in Special Instructions) must accompany all specimens.



Specimen Required


Biopsies from different sites require separate orders and separate specimen vials.

 

Preferred: Frozen muscle biopsy tissue

Supplies: Muscle Biopsy Kit (T541)

Specimen Type: Muscle biopsy tissue (frozen) and/or slides

Collection Instructions:

1. Prepare and transport specimen per instructions in Muscle Biopsy Specimen Preparation in Special Instructions.

2. Patient history and requests should be clearly labeled with correct patient identifiers and pathology accession/case number.

3. All specimens must be labeled with specimen type.

Additional Information: Contact the Mayo Clinic Muscle Laboratory for special problems to maximize benefit of the muscle biopsy.

 

Acceptable: Stained muscle biopsy slides

1. Submit all stains performed on the case.

2. All specimens must be labeled with specimen type.


Forms

1. If not ordering electronically, complete, print, and send a Pathology Test Request (T246) with the specimen.

2. Muscle Histochemistry Patient Information (T361) in Special Instructions.

3. Why Electron Microscopy is Not Performed on Muscle Biopsy Specimens in Special Instructions.

Useful For

Obtaining a rapid, expert opinion on muscle biopsy specimens for neuromuscular disease

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
IHPCI IHC Initial No, (Bill Only) No
IHPCA IHC Additional No, (Bill Only) No
IFPCI IF Initial No, (Bill Only) No
IFPCA IF Additional No, (Bill Only) No
SS2PC SpecStain, Grp II, other No, (Bill Only) No
SS3PC SpecStain, Grp III, enzyme No, (Bill Only) No
HCFPC SpecStain, frozen No, (Bill Only) No
COSPC Consult, Outside Slide No, (Bill Only) No
CSPPC Consult, w/Slide Prep No, (Bill Only) No
CUPPC Consult, w/USS Prof No, (Bill Only) No
CRHPC Consult, w/Comp Rvw of His No, (Bill Only) No
LV4RP Level 4 Gross and Microscopic, RB No, (Bill Only) No

Testing Algorithm

A battery of enzyme histochemical stains or immunostains may be performed on frozen tissue; other tests can be performed as indicated and will be charged separately. The reviewing neuromuscular pathologist will determine the need for additional testing.

 

For all consultations, ancillary testing necessary to determine a diagnosis is ordered at the discretion of the Mayo Clinic neuromuscular pathologist. An interpretation, which includes an evaluation of the specimen and determination of a diagnosis, will be provided within a formal pathology report.

 

Frozen tissue sent for consultation: Appropriate additional stains may be performed and will be charged separately.

 

Slides sent for consultation: Special stains and studies performed on the case should be sent with the case for review. In order to determine an accurate diagnosis, some of these stains or studies may be deemed to warrant repeat testing at an additional charge at the discretion of the reviewing Mayo Clinic neuromuscular pathologist.

Note: Testing requested by the referring physician (immunostains, etc) may not be performed if deemed unnecessary by the reviewing Mayo neuromuscular pathologist. Electron microscopic studies are not performed on muscle biopsy specimens.

 

See Pathology Consultation Ordering Algorithm in Special Instructions.

Method Name

Muscle Biopsy Surgical Pathology Consultation and/or Review of Outside Material

Reporting Name

Muscle Path Consult

Specimen Type

Varies

Specimen Minimum Volume

1.5 cm biopsy

Specimen Stability Information

Specimen Type Temperature Time Special Container
Varies Frozen (preferred)
  Ambient 

Reference Values

An interpretive report will be provided.

Day(s) and Time(s) Performed

Monday through Friday; Varies

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test uses a standard method. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

88342-(if appropriate)

88341-(if appropriate)

88346-(if appropriate)

88350-(if appropriate)

88305-(if appropriate)

88313-(if appropriate)

88319-(if appropriate)

88314-(if appropriate)

88321-(if appropriate)

88323-(if appropriate)

88323-26-(if appropriate)

88325-(if appropriate)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
MBX Muscle Path Consult In Process

 

Result ID Test Result Name Result LOINC Value
601767 Interpretation 59465-5
601769 Participated in the Interpretation No LOINC Needed
601770 Report electronically signed by 19139-5
601771 Addendum 35265-8
601773 Gross Description 22634-0
603614 Material Received 81178-6
601822 Case Number 80398-1
601911 Disclaimer 62364-5

NY State Approved

No