[Histonet] Moderate vs High Complexity for routine histology

[Wooten, Jennifer]

Good morning,
Under CLIA, Histology processes (processing, embedding, cutting, staining) are considered pre-analytic (not testing) and are not classified under either complexity level. Currently, the only activities that are considered high complexity are grossing, ISH, and reporting results.

Jennifer Wooten, BA, BS, HTL (ASCP)CM
Technical Quality Assurance Auditor

-----Original Message-----
From: James P Montgomery <James.P.Montgomery at kp.org>
Sent: Friday, October 20, 2023 2:04 PM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] Moderate vs High Complexity for routine histology

Hello,

Is routine histology considered moderate or high complexity by CAP?  It looks like CLIA doesn't even assign a complexity rating as far as I can tell.  I know grossing is considered high complexity but what about routine processing, embedding, cutting, and special/IHC/ISH staining?  I've had a CAP inspector say histotechs are moderate, but a QA manager felt they were high complexity.

Thanks

James



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