South Bend CLIENT NOTICE
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CLIENT NOTICE SOUTH BEND MEDICAL FOUNDATION 530 North Lafayette Boulevard • South Bend, Indiana 46601 (574) 234-4176 • (800) 544-0925 • www.sbmf.org Joyce L. Simpson, M.D. • Medical Director South Bend Medical Foundation PATHOLOGY SERVICES & BLOOD CENTER Client Instructions ● SBMF Samples Notification Date: 12 FEB 2021 Effective Date: 02 MAR 2021 What Do I Send To SBMF? What type of samples should be sent to South Bend Medical Foundation? One quick easy way to decide is by what requisition you are using. If your requisition is a Surgical Pathology requisition, a Dermatopathology requisition or a Non-Gyn Cytology requisition, like the ones pictured below, the samples should be sent to SBMF. South Bend Medical Foundation only processes Pathology, Non-Gyn Cytology and Blood Bank testing. A complete test listing is included as a reference to this notice. Be sure to send separate samples appropriately for corresponding test orders. Each order will require its own designated sample that is not shared with another test.
Transcript of South Bend CLIENT NOTICE
CLIENT NOTICE
SOUTH BEND MEDICAL FOUNDATION530 North Lafayette Boulevard • South Bend, Indiana 46601
(574) 234-4176 • (800) 544-0925 • www.sbmf.orgJoyce L. Simpson, M.D. • Medical Director
South BendMedical Foundation
PATHOLOGY SERVICES & BLOOD CENTER
Client Instructions ● SBMF Samples Notification Date: 12 FEB 2021 Effective Date: 02 MAR 2021
What Do I Send To SBMF?
What type of samples should be sent to South Bend Medical Foundation?
One quick easy way to decide is by what requisition you are using. If your requisition is a Surgical Pathology requisition, a Dermatopathology requisition or a Non-Gyn Cytology requisition, like the ones pictured below, the samples should be sent to SBMF.
South Bend Medical Foundation only processes Pathology, Non-Gyn Cytology and Blood Bank testing. A complete test listing is included as a reference to this notice. Be sure to send separate samples appropriately for corresponding test orders. Each order will require its own designated sample that is not shared with another test.
CLIENT NOTICE
SOUTH BEND MEDICAL FOUNDATION530 North Lafayette Boulevard • South Bend, Indiana 46601
(574) 234-4176 • (800) 544-0925 • www.sbmf.orgJoyce L. Simpson, M.D. • Medical Director
South BendMedical Foundation
PATHOLOGY SERVICES & BLOOD CENTER
Client Instructions ● SBMF Samples Notification Date: 12 FEB 2021 Effective Date: 02 MAR 2021
SBMF online Test Directory
Questions: Please contact CLIENT SUPPORT at 574-236-7263
Client Notices are distributed electronically.
Email addresses may be added/unsubscribed at our website: Client Notices
It is extremely important that SBMF samples are placed in SBMF secure transport bags and separated from any other lab's specimens. Please place our yellow Histology label on the outside of each secure specimen transport bag containing pathology or non-gyn samples. The orange Blood Bank Services label should be placed on the outside of each secure specimen bag containing Blood Bank samples. Bags should be filled out as normal with client name, date and temperature. Please do not cover up the barcode with the label. If you don't already have an everyday pick-up scheduled with SBMF, please call us at 800-950-7263 to request a courier to pick-up your sample.
If you are in need of these SBMF labels or would like to request a laminated copy of the SBMF Test listing, please contact your Account Executive Laura Balciunas, [email protected] or Meghan Berkheiser, [email protected]. You may also order the labels using the SBMF supply order form. All SBMF requisitions are available on our website at www.sbmf.org.
Still unsure of what to send to SBMF? Our Client Support staff is here to help. You can reach them M-F,8:00 am - 5:00 pm at 800-950-7263.
CF-200200-2 (2/21)
Testing Listed Below is Performed by SBMF
Cytology Order Number Test Description CPT(s)
38560 Cytopathology Examination, non-gynecologic Cytologic Studies, Body Fluid Cytologic Studies, Brushings Cytologic Studies, Cerebrospinal Fluid Cytologic Studies, Cyst Fluid Cytologic Studies, Discharge Cytologic Studies, Fine Needle Aspirate (FNA) Cytologic Studies, Pneumocystis carinii Preparation Cytologic Studies, Scrapings and Smears Cytologic Studies, Sputum Cytologic Studies, Urine, Random Cytologic Studies, Washings
Varies
Pathology Order Number Test Description CPT(s)
38550 Pathology Consultation Anatomic Pathology Bone Marrow Biopsy Dermatopathology Gross and Microscopic Examination Hematopathology Histopathology Examination Immunofluorescent Studies, Tissue Kidney (Renal) Biopsy Muscle Biopsy Neuropathology Other Tissue Surgical Pathology Uropathology Pathologist Interpretation:
Peripheral Smear Path Review Cytopathology Interpretation
Varies
Please contact your SBMF Account Executive for questions regarding custom profiles
CF-200200-2 (2/21)
Testing Listed Below is Performed by SBMF
Blood Bank Services Order Number Test Description CPT(s)
22047 ABO Only 86900
22000 ABO/Rh 86900; 86901
22014 ABO/Rh Neonate 86900; 86901
22008 Antibody Identification 86870
22306 Antibody Screen Gel 86850
22049 Antigen Type 86905
22013 Cold Agglutinins Screen with Reflex to Titer 86156
22057 Direct Antiglobulin Test (DAT) 22028 Direct Antiglobulin Test IgG 22029 Direct Antiglobulin Test C3
86880
22007 Eluate ABID 86860
22041 Fetal Screen Reflex if positive to 36039 Fetal-Maternal Bleed, Quantitation, by Flow Cytometry (Includes Rh Type)
85461
86901; 88184
28032 HDN Antibody Titer
28031 HDN Antibody Screen with Reflex to Antibody ID and Titer(s) Reflex if the antibody screen is Positive: 22008 Antibody Identification, Each 28032 HDN RBC Antibody Titer, Each
86850
86870 86886
22004 Rh Blood Type 86901
28089 Rh Immunization Prevention Panel 22004 Rh Blood Type 22306 Antibody Screen
86901 86850
22051 Rh Phenotype 86906
22356 Type and Crossmatch (performed by special arrangement) 22047 ABO Blood Group 22004 Rh Blood Type 22306 Antibody Screen 22461 Compatibility
86900 86901 86850 86922
22354 Type and Screen (performed by special arrangement) 22047 ABO Blood Group 22004 Rh Blood Type 22306 Antibody Screen
86900 86901 86850
Please contact your SBMF Account Executive for questions regarding custom profiles
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