University of Michigan Health System
Department of Pathology  
         
Lab Services | Research | Informatics | Translational | MLabs | Residency | PhD Program| Faculty | Intranet |
        Home > Intranet > HO Internal Page > Cutting Manual
      Intra
Related Links
Cutting Manual

 

 

 

TO:                         All Residents, Fellows and AP Faculty Members

 

FROM:                   Joel K. Greenson, M.D.

                                Director, Surgical Pathology

 

RE:                          Non-pigmented skin excisions with frozen sections

 

DATE:                    August 22, 1997

 

________________________________________________________________________

 

Pursuant to our discussion at yesterday’s AP Faculty meeting, all non-pigmented skin excisions with frozen sections will now be designated IF cases and will be signed out by the Room I residents and faculty.  I believe this will not only cut down on duplication of effort, but also be an important aid in providing feedback to the fellows and staff performing the frozen sections.  If for some cruel and inhumane reason, frozen sections are done on pigmented lesions, those lesions should be deemed an ID case and forwarded to dermatopathology.


 

 

 

MEMORANDUM

 

TO:                         Surgical Pathology, Hematopathology, and Neuropathology Faculty

                                Residents/Fellows

                               

FROM:                  Joel K. Greenson, M.D.

                                Director, Surgical Pathology

 

RE:                         CPT Fee Codes for 1998

 

DATE:                    January 8, 1998

 

______________________________________________________________________________

 

 

It has come to our attention that there is a CPT fee code for the use of radiologic films in interpreting a pathologic specimen.  Hence, whenever we use a film for specimen orientation, localization, or interpretation, we should attach the CPT code 76098 to the other fee codes associated with the case.  This is particularly germain to breast biopsies in which the needle localization mammogram accompanies the specimen to pathology.  In addition, when touch preps are used with a frozen section to help with an intraoperative consultation, the CPT code of 88332 should be used.  If a touch prep is used without a frozen section for an intraoperative consultation the fee code is 88331.

 

CPT code for radiologic films as part of the specimen: 76098

CPT code for intraoperative touch prep alone:  88331

CPT code for intraoperative touch prep with frozen section: 88332

 

 

 

cc:           Dr. Joseph Fantone

                Mr. Eugene Napolitan

                Mr. David Golden

 

JKG:jmk

010898JG.MEM


 

 

MEMORANDUM

 

 

 

 

TO:                         House Officers

                                Cytopathology Faculty

                                Surgical Pathology Faculty

                                Dr. Joseph Fantone

 

FROM:   Joel K. Greenson, M.D.

                                Director, Surgical Pathology             

 

RE:                          Gyn biopsies

 

DATE:    May 8, 1997

 

 

 

 

In an attempt to facilitate easier QA/QC in gyn cytology, please set aside gyn biopsies in Room II that are discrepant with previous cytology specimens. 

 

Thank you for your attention to this matter.


MEMORANDUM

 

 

 

 

TO:                         AP Faculty

                                Residents

                                Fellows

 

FROM:   Joel K. Greenson, M.D.

                                Director, Surgical Pathology             

 

RE:                          Coding of histologically normal specimens

 

DATE:    April 9, 1998

 

 

It has been brought to my attention that since we have changed our tissue codes to better track our turn-around times, Code III is no longer being used.  The Operating Room Committee is desperately trying to keep track of all histologically normal organs that are removed during surgery.  Please use the tissue Code III for any Room I resection specimens that do not demonstrate any pathology (appendices, gall bladders, uteri, etc.).  The number of Code IIIs submitted by our department in recent months is so low that there is concern that the JCHO will find the statistics unbelievable.

 

Thank you for your attention to this matter.

 

 

 

cc:           Joseph C. Fantone, M.D.

                Ron Salisbury


MEMORANDUM

 

TO:                   Residents, Fellows

                        Surgical Pathology Faculty

                        Joseph C. Fantone, M.D.

 

FROM:  Joel K. Greenson, M.D.

                        Director, Surgical Pathology

 

RE:                   Transplant biopsies

 

DATE:   October 12, 1998

 

________________________________________________________________________

 

 

While we normally have the luxury of having designated experts read the liver, lung, and heart transplant biopsies, there are occasional instances when all of the designated experts are out of town or unavailable.  In an effort to cross train all of the general surgical pathology faculty, I would like each expert to prepare a small tray of slides with accompanying text showing the various classic lesions of rejection as well as other lesions often encountered in transplant biopsies.  Currently there is a set of heart transplant biopsies and a set of liver transplant biopsies on the shelf in Room II which can be utilized when the designated experts are unavailable. 


 

 

MEMORANDUM

 

 

TO:                 House Officers, Fellows

                        Tissue Procurement

                        Surgical Pathology Faculty

                        Dr. Joseph Fantone

 

FROM:           Joel K. Greenson, M.D.

                        Director,  Surgical Pathology

 

RE:                 Tissue procurement specimens

 

DATE:            May 7, 1997

 

 

I would like to remind everyone that any specimen received in pathology with a requisition must be accessioned as a specimen before being distributed to Tissue Procurement.  This does not apply to “disposable” specimens without requisitions that are brought to pathology for Tissue Procurement.

 

Thank you for your attention to this matter.

 


 

Memorandum

 

Date:               June 24, 1998

 

To:                   Pathology residents, Histopathology Laboratory Staff

 

From:              Riccardo Valdez, M.D.

                        Joel K. Greenson, M.D.

                        Kathy Smiezny

 

Subject:          Surgical Pathology Specimens

 

Beginning July 1, 1998, the following specimen types will be cut by a pathology resident in the designated grossing area(s) of the Histology Laboratory.

 

Appendix

Gallbladder

Breast biopsies

Small lumpectomies (including lymph node(s)/lymph node dissections if applicable)

All lymph node dissections not associated with a resection specimen

Reduction pneumoplasties

Reduction mammoplasties

Heart valves

Aortic plaques

Carotid plaques

Ileostomies/Colostomies

Small segments of bowel

Colon for carcinoma

Prostate gland (tumor and non-tumor)

Testes (non-tumor only)

Uterus (non-tumor only)

Ovaries and fallopian tubes (non-tumor only)

Heart

Room II specimens not cut by Histotechnologist

 

Between the hours of 8:00am and 4:00pm, these specimens will be accessioned in Room I and subsequently be taken to the grossing area in the Histology Lab by the histotechnologist assigned to Room I; all cases will be brought up with an appropriate number of cassettes as per the surgical pathology cutting manual.  Specimens will be returned to Room I for storage after the gross examination/dissection is completed; this will also be performed by the Room I histotechnologist.


 

Memorandum

 

To:                   Residents

 

From:              Ann Lemieux

 

Subject:          Temporal Arteries

 

CC:                 Andrew Flint, Joel Greenson

 

Date:               May 21, 1998

 

 

Please be informed that we now submit temporal arteries whole.  The arteries are much easier to embed with they are processed whole and then serially sectioned just prior to embedding.

 

If you ever gross in a temporal artery (TABX) for routine processing and light microscopy, please submit it whole.  Thanks.

 

 


• Antibiotic Susceptibility
• Careweb
• Conference Archives
• Departmental Directory
• Dept. Conference Rooms
• Groupwise Online
• MCTP
• Medical School
• Paging Directory
• Pathology LEAN Initiative
• UM-Carelink Help
• University of Michigan
• UMHS Clinical Page
• UMHS Daily Bulletin
• U of M Directory
• Wolverine Access

   

























Site Map Contact Pathology