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Department of Pathology and Laboratory Medicine

Department of Pathology and Laboratory Medicine

Surgical pathology: clinical services - tissues exempt from submission

The Invasive Procedures Review Committee has recommended, and the Medical Staff Executive Committee (MSEC) and Governing Body have approved, the exemption of the following  surgical specimens from routine or mandatory submission  to the Department of Pathology.  The attending clinician can choose to submit the specimen to pathology if s/he deems it clinically appropriate, and examination will be performed and a report will be issued.

List of exempt specimens

  • Bone submitted to the bone bank
  • Bone removed as part of corrective or reconstructive procedures (e.g. rotator cuff repair, synostosis repair, spinal fusion)
  • Cataracts removed by phacoemulsification
  • Fat removed by liposuction
  • Foreskin from circumcision of newborns
  • Middle ear ossicles
  • Saphenous veins harvested for coronary artery bypass
  • Rib segments or other tissues removed to provide surgical access
  • Teeth where there is no attached surgical tissue
  • Normal finger or toe nails which are incidentally removed
  • Skin or or other normal tissue removed during cosmetic or reconstructive procedures (e.g. blepharoplasty, cleft palate repair, abdominoplasty, ) provided it is not contiguous with a lesion and the patient does not have a history of malignancy
  • Tissue excised incidental to the procedure when disease is not expected (i.e., wound debridement with open fracture repair)
  • Placentas from routine deliveries
  • Foreign bodies without attached tissue, including:
    • Medical devices, including catheters, tubes, stents, that did not contribute to the patient’s illness, injury or death
    • Orthopedic hardware and other radio-opaque mechanical devices
    • Therapeutic radioactive sources, the removal of which shall be guided by radiation safety monitoring requirements
    • Foreign bodies such as bullets or other medicolegal evidence given directly to law enforcement authorities; however, the skin or viscera removed with the foreign bodies, should be sent to the Department of Pathology

Note: This list is in compliance with Title 22, California Code of Regulations, Section 70223, under program flexibility granted by the Department of Health Services on May 28, 1982.  A copy of this variance is on file in the Patient Care Services Department