Clinics and Departments

Laboratory Services

Lab Dept:

Anatomic Pathology

Test Name:

MUSCLE BIOPSY

General Information

Synonyms:

Muscle biopsy

CPT Codes:

Varies bases on specimen submitted and physician request:

88300 – Level I, Surgical pathology, gross examination only
88305 – Level IV - Surgical pathology, gross and microscopic examination (specific specimen types)
88313 x4 – Special Stains, Group II 88319-90 - Determinative histochemistry or cytochemistry to identify enzyme constituents, each
88319 x11 – Special stain including interpretation and report; Group III, for enzyme constituents
88348 – Electron microscopy, diagnostic

Test Includes:

A battery of histochemical stains and electron microscopy (EM) when indicated.

Logistics

Test Indications:

Useful for evaluating muscle disease in terms of primary myopathy, neurogenic atrophy, etc.

Lab Testing Section:

Anatomic Pathology - Sendouts

Referred to:

Hennepin County Medical Center - Neuromuscular Lab (612)873-2175

Phone Numbers:

MIN Lab: 612-813-6280

STP Lab: 651-220-6550

Test Availability:

Monday - Friday

Turnaround Time:

14 days

Special Instructions:

Pathology order form(s) must be filled out and submitted with specimen. Specimen must be received by 2PM on the day of the procedure at HCMC. Please notify pathology laboratory 24 hours prior to specimen collection. Obtain the biopsy from a muscle that is definitely affected, but not so severely affected that much of it is replaced by fatty or fibrous connective tissue. In addition, the involved muscle should not be one that has been traumatized by injections or by electromyographic studies. Typically, the triceps, biceps or vastus lateralis are chosen. (We find deltoid or gastrocnemius muscles less satisfactory and more subject to artifact.)

Specimen

Specimen Type:

Tissue

Container:

For first two specimens: wrapped in saline-moistened gauze on wet ice.

For third specimen: muscle piece that is held at resting length by sutures on a piece of tongue blade immersed in EM fixative.

Draw Volume:

Two unfixed muscle pieces 3 - 5 mm in diameter by 1 cm in length for each specimen.

Third specimen: Muscle piece 2 mm in diameter

Processed Volume:

Same as Draw Volume

Collection:

Send 2 unfixed muscle pieces, wrapped in saline-moistened gauze on wet ice. Recommended size: 3 - 5 mm in diameter by 1 cm in length for each. Send a third muscle piece that is held at resting length by sutures on a piece of tongue blade immersed in EM fixative. Recommended size: 2 mm in diameter. If biochemical studies are anticipated, additional muscle specimens must be quickly frozen and in foil, in surgery with liquid nitrogen. The frozen tissue is stored in lab’s -70 freezer until biochemical orders/requests are received.

Special Processing:

See Collection

Patient Preparation:

Physician preference

Sample Rejection:

Improperly collected specimens; mislabeled or unlabeled specimens

Interpretive

Reference Range:

Interpretive report

References:

Hennepin County Medical Center Laboratory Web Page http://www.hcmc.org/a_z/Neuromuscular/NeuroSpecimen.html

Updates:

2/12/2013: CPT update



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