Dahl Chase Folders

Surgically Removed Specimens Not Required for Submission to Pathology

Reference Number: AA-00275


Dahl-Chase Diagnostic Services




The following specimens may be exempt from laboratory examination:

  • Teeth, removal must be recorded in the medical record.
  • Orthopedic hardware.
  • Toenails and fingernails that are grossly unremarkable.
  • Cataract lenses, iris, and muscle fragments.
  • Ear ossicles (staples, incus, malleus).
  • Intrauterine devices.
  • Grossly unremarkable foreskin from circumcision of a newborn.
  • Bullets, missiles and weapons; removal must be recorded in the medical record.
  • Foreign objects/foreign body.
  • Donor organs for transplantation.
  • Placentas without medical indications.
  • Products of conception/fetus when family or clinician does not request an exam and there is no suspicion of ectopic pregnancy or anomalies
  • Pacemakers and other medical devices.
  • Normal skin from plastic surgery procedures.
  • Fat removed by liposuction.
  • Aspirated and/or impacted food or foreign material. 
  • Oral hardware
  • Medical devices not contributing to patient illness, injury or death (e.g. gastrostomy tubes, stents, sutures).
  • Intravascular catheters
  • Normal rib removed for surgical access (provided no history of malignancy).
  • Eyelid tissue removed for cosmetic surgery only.
  • Extra digits.
  • Nasal septal cartilage and/or bone.
  • Meniscus.
  • Tissue from acromio-clavicular joint surgery.
  • Tissue from rotator cuff repair.
  • Vaginal mucosa for repair.
  • Bunions/claw toes/hammertoes.
  • Surgical specimens obtained from an arthroscopic knee procedure where documentation exists of the pathologic changes confirming the indications for the procedure and the presence of disease, (ex. permanent photographic or video record).
  • Mucosa, bone, and cartilage removed during plastic surgical procedures for non neoplastic disease (ex. septoplasty and uvulectomy).
  • Tissue removed from joint replacement surgery, for osteoarthritis, rheumatoid arthritis, and reconstructive purposes.
  • Traumatically amputated digits.
  • Tissue such as ligamentum flavum, intervertebral disc fragments, and bone removed during routine spinal surgery
  • Blood clot
  • Amputated limbs due to trauma, non-union, and/or dysfunction
  • Varicose veins

If the physician desires further documentation or evaluation of any of the above specimens, the laboratory will accept them and provide gross documentation and will do microscopic examination if requested and if feasible for the type of specimen submitted.