[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR37.203]



[Page 132]

 

                         TITLE 42--PUBLIC HEALTH

 

    CHAPTER I--PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN 

                                SERVICES

 

PART 37_SPECIFICATIONS FOR MEDICAL EXAMINATIONS OF UNDERGROUND COAL 

MINERS--Table of Contents

 

                            Subpart_Autopsies

 

Sec.  37.203  Autopsy specifications.



    (a) Every autopsy for which a claim for payment is submitted 

pursuant to this part:

    (1) Shall be performed consistent with standard autopsy procedures 

such as those, for example, set forth in the ``Autopsy Manual'' prepared 

by the Armed Forces Institute of Pathology, July 1, 1960. (Technical 

Manual No. 8-300. NAVMED P-5065, Air Force Manual No. 160-19.) Copies of 

this document may be borrowed from ALFORD.

    (2) Shall include:

    (i) Gross and microscopic examination of the lungs, pulmonary 

pleura, and tracheobronchial lymph nodes;

    (ii) Weights of the heart and each lung (these and all other 

measurements required under this subparagraph shall be in the metric 

system);

    (iii) Circumference of each cardiac valve when opened;

    (iv) Thickness of right and left ventricles; these measurements 

shall be made perpendicular to the ventricular surface and shall not 

include trabeculations or pericardial fat. The right ventricle shall be 

measured at a point midway between the tricuspid valve and the apex, and 

the left ventricle shall be measured directly above the insertion of the 

anterior papillary muscle;

    (v) Size, number, consistency, location, description and other 

relevant details of all lesions of the lungs;

    (vi) Level of the diaphragm;

    (vii) From each type of suspected pneumoconiotic lesion, 

representative microscopic slides stained with hematoxylin eosin or 

other appropriate stain, and one formalin fixed, paraffin-impregnated 

block of tissue; a minimum of three stained slides and three blocks of 

tissue shall be submitted. When no such lesion is recognized, similar 

material shall be submitted from three separate areas of the lungs 

selected at random; a minimum of three stained slides and three formalin 

fixed, paraffin-impregnated blocks of tissue shall be submitted.

    (b) Needle biopsy techniques shall not be used.