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Pathology Services

Provider Type

  • Physicians 
  • Hospitals
  • Ancillary

The following are the requirements for pathology services:

  • Pathology services must be performed by qualified pathologists in accordance with federal standards in anatomic pathology and licensed in the state in which they provide care
  • Pathology services must provide reports of external quality assurance programs quarterly
  • A "wet read" of a preliminary cancer, melanoma and significant diagnosis should be provided to the ordering clinicians within 24 hours of receiving the specimens at the testing institutions
  • Consultations regarding the medical significance of the laboratory results or data provided
  • Mandatory second pathologist review when indicated by current standard of care (such as any malignancy, high-grade dysplasia in Barrett's, any dysplasia in IBD, and others)
  • Retrospective review of two percent of all cases, randomly selected, or selected by organ system for systemic review
  • Mandatory review of any outside pathology materials upon which a definitive therapy is planned within a referral institution
  • Pathology department must utilize a specific set of preferred consultants who are recognized experts within each subspecialty
  • All gross specimens must be retained until at least two weeks after the final reports are signed and results reported to the referring physician
  • Intradepartmental consultations must be included in the patient's final report, or filed separately
  • The results of surgical consultations must be documented and signed by the pathologist who made the diagnosis
  • Statistical reports on turnaround time are required for the following categories of pathology specimens:
    • Routine, such as Pap smears
    • Advanced, such as molecular pathology, flow cytometry and fluorescence in situ hybridization (FISH)
Last Updated: 11/04/2019