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Anatomic Pathology Test Request Form Recommended (ARUP form #32960)

Ordering Recommendation

Refer to the listing of histochemical stains at www.aruplab.com/ap/tests/histochemical.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Tissue or cells.

Specimen Preparation

Formalin fix (10 percent neutral buffered formalin is preferred) and paraffin embed specimen (cells must be prepared into a cellblock). Protect paraffin block and/or slides from excessive heat. Transport tissue block or 2 unstained (3- to 5-micron thick sections), positively charged slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at 800-522-2787. (Min: 2 slides).

Storage/Transport Temperature

Room temperature or refrigerated. Ship in cooled container during summer months.

Unacceptable Conditions

Specimens submitted with nonrepresentative tissue type. Depleted specimens.

Remarks

HISTOLOGY SPECIAL STAINS SUBMISSION DETAILS: Submit electronic request. If you do not have electronic ordering capability, use an ARUP Anatomic Pathology Form (#32960) with an ARUP client number. For additional technical details, contact ARUP Client Services at 800-522-2787.

Stability

Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable

Methodology

Special Stain

Performed

Mon-Fri

Reported

1-5 days

Reference Interval

Interpretive Data



Compliance Category

FDA

Note

All stains will be handled as Stain and Return unless a consultation is requested. To request a consultation, submit the pathology report, all associated case materials (clinical history, blocks, slides, etc.), and the Anatomic Pathology Requisition Form (#32960).

Hotline History

N/A

CPT Codes

88313

Components

Component Test Code* Component Chart Name LOINC
2005968 Melanin Bleach Stain 10775-5
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • Bleach Stain
  • melanin bleach staining
Special Stain, Melanin Bleach