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Epic Code LAB1230400 Manual Differential Body Fluid

Important Note

Manual Differential Body Fluid cannot be ordered alone. This must be ordered with a cell count or added onto a cell count specimen already in lab.

Test Name Alias

Manual Diff BFL

Interface Order Alias

1230400

Ordering Instructions

Manual Differential Body Fluid cannot be ordered alone. This must be ordered with a cell count or added onto a cell count specimen already in lab.

Collection Instructions

Specimen Collection: Body Fluid

 

Container(s): Lavender EDTA (ideal) or non-heparinized container

Preferred Volume to Collect: 3.0 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 1.0 mL

 

Collection Instructions:

  • Label container with patient information, specimen source, and date of collection.
    • Body fluid source required to perform test.
  • All fluids need to be received in lab as soon as possible, ideally aliquoted in a Lavender EDTA immediately after collection to preserve cell integrity.
  • For EDTA, gently invert tube 8-10 times

  • Transport Temperature (Inpatient/ED): Room Temperature

 

Processing Instructions (Laboratory, Outpatient or Off-site collection)

  • Transport Temperature (Outpatient/Off Site): Refrigerated

Rejection Criteria

  • Specimens which are not from a sterile body cavity (e.g. wound drainage, abscess, pus, etc.)
  • Frozen specimens
  • Specimens that are entirely clotted (exception: synovial fluids)

Specimen Stability

Ambient: 4 hours

Refrigerate: (Preferred) 24 hours

Laboratory Retention: 7 days

Test Frequency

Available daily, usual TAT 1 day for Cell Count, 24 Hours for Differential

Reference Range

The data is summarized / compiled from published literature

 

Synovial fluid:

Differential count: Segmented neutrophils <25%

 

Serous fluids (pleural, peritoneal, pericardial):

Differential count: Segmented neutrophils <25%

 

Other Body Fluids:

The reference range and other method performance specifications have not been established for other body fluids that are not readily obtainable in healthy individuals. The test result must be integrated into the clinical context for interpretation.

Performing Department

HEMATOLOGY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory (SHRL), Grand Rapids, MI
Spectrum Health Big Rapids Laboratory (SHBR), Big Rapids, MI
Spectrum Health Blodgett Laboratory (BIRL), Grand Rapids, MI
Spectrum Health Gerber Laboratory (SHGH), Fremont, MI

Spectrum Health Pennock Laboratory (SHP), Hastings, MI
Spectrum Health Reed City Laboratory (SHRC), Reed City, MI
Spectrum Health United Laboratory (SHUH), Greenville, MI
Spectrum Health Zeeland Community Laboratory (SHZCH), Zeeland, MI

Methodology

Microscopy – cytospin prep

CPT

89051

CDM Code

Update in process

Epic Test ID

1230101987

LOINC

Not available

Beaker LOINC

BLASTS BODY FLUID: 13522-8
IMMATURE CELLS BFL: 69004-0
LYMPHOMA CELLS BFL: 58472-2
SEGMENTED NEUTROPHILS BODY FLUID: 12238-2

Reviewed Date

9/2/2021

Beaker Names

Beaker Procedure Name: MANUAL DIFFERENTIAL BFL
Beaker Display Name: Manual Differential, Body Fluid
BEAKER TEST NAME: MANUAL DIFF BFL
BEAKER TEST REPORT NAME: Manual Differential Body Fluid

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
BW HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
BL HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
BL HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
BR HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
BR HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
GM HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
GM HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
LH HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
LH HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
PH HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
PH HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
RC HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
RC HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
UN HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
UN HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient
ZH HEMATOLOGY: STERILE CONTAINER A (Preferred)-Ambient
ZH HEMATOLOGY: 3 ML LAVENDER TOP TUBE A (Acceptable)-Ambient