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Epic Code LAB210 Cell Count w/ Differential, Body Fluid

Test Name Alias

Cell Count w/ Differential Body Fluid | Body Fluid Analysis | 8952

Interface Order Alias

10326

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 (with the exception of synovial fluid)

Specimen Stability

Ambient: 4 hours

Refrigerate: (Preferred) 24 hours

Laboratory Retention: 7 days

Reflex Information

Reflex approved by Medical Executive Committee. Please see link: Reflex Testing Document

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

Total nucleated cells (TNC) = 0-150/uL

 

Serous fluids (pleural, peritoneal, pericardial):

Total nucleated cells (TNC) = 0-500/uL

 

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, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Kelsey Laboratory, Lakeview, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health United Laboratory, Greenville, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Automated: Sysmex XN or Manual: Hemocytometer (BAL) Fluids (Microscopy)

CPT

89051

89050

CDM Code

Update in process

Epic Test ID

1230100466

LOINC

Specimen Type: 66746-9

Color BFL: 6824-7

Clarity BFL: 33515-8

WBC BFL: 6743-9

RBC BFL: 6741-3

Tot Cells BFL: 38256-4

Segs BFL: 12238-2

Lymphs BFL: 13941-0

Eos BFL: 12209-3

Basos BFL: 12179-8

Blasts BFL: 13522-8

Macrophages BFL: 12230-9

Meso BFL: 12234-1

Reactive Lymph BFL: 13518-6

Immature Cells BFL: 69004-0

Plasma Cells BFL:

Lymphoma Cells BFL:

Other Cells BFL:

Beaker LOINC

CLARITY BODY FLUID: 33515-8
COLOR BODY FLUID: 6824-7
COMPLETE: N/A

Reviewed Date

9/2/2021

Beaker Names

Beaker Procedure Name: BODY FLUID CELL COUNT WITH DIFFERENTIAL
Beaker Display Name: Cell Count w/ Differential, Body Fluid
BEAKER TEST NAME: CELL COUNT BODY FLUID WITH DIFF
BEAKER TEST REPORT NAME: Cell Count Body Fluid with Diff

Beaker Synonyms

BODY FLUID CELL COUNT

Beaker Location, Container and Temperature

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