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Epic Code LAB212 Cell Count, with Differential, Cerebrospinal Fluid (Pediatric Oncology)

Important Note

This test is built specifically for Pediatric Oncology patients. This should not be used for other patients.

Do not send specimen through pneumatic tube system. Specimen must be received in lab within one hour of collection.

Xanthochromia is assessed by visual inspection. If the appropriate history and symptoms are present, CSF xanthochromia is suggestive of subarachnoid blood, either as part of an inflammatory reaction such as meningitis, or after subarachnoid hemorrhage (SAH). Xanthochromia must be viewed within the appropriate clinical context.

Test Name Alias

Cerebrospinal Fluid Analysis | Cell Count w/ Differential CSF | 4230

Interface Order Alias

10327

Ordering Instructions

This test is built specifically for Pediatric Oncology patients. This should not be used for other patients.

Collection Instructions

Specimen Collection: Cerebral Spinal Fluid (CSF)

 

Container(s): 1 or more sterile plastic tubes

Preferred Volume to Collect: 5.0 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 1.0 mL

 

Collection Instructions:

  • Number containers/tubes in order of collection.
  • Label container with patient information, specimen source, and date of collection.
  • Specimen must be received within one hour of collection.
  • Hand deliver to laboratory, do not send through pneumatic tube system.

 

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

  • Lab Testing is performed using the following tube order regardless of label:
    • 1) Chemistry, 2) Microbiology, 3) Hematology, 4) Extra
  • Transport Temperature: Room Temperature

Lab Staff Instructions

Lab Central Staff: All CSF specimens to Hematology first.

Rejection Criteria

  • Frozen Specimens

Specimen Stability

Ambient: 1 hour

Refrigerated: 1 hour

 

Laboratory Retention: 30 days

Reflex Information

Link: Mandatory Reflex approved by MEC

Test Frequency

Available 24 hours a day 7 days a week.

Reference Range

CSF: appearance should be colorless and clear

WBC ≤5 cells/uL

RBC≤0 cells/uL

The reference range data is summarized/complied from published literature

 

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 Ludington Laboratory, Ludington, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Hemocytometer (Microscopy)

Clarity and Color, including Xanthochromia: assessed by visual inspection

Cell counts and differential: Manual hemocytometer cell counts and manual differential on cytospin preparations

CPT

89050 (Cell Count Only)

89051 (Differential+ Cell Count)

CDM Code

80102703

80102705

Epic Test ID

1230100806

LOINC

Volume CSF: 17607-3

Tube Num CSF: 19157-7

Tube 1 Color : 10335-8

Tube 1 Clarity: 49736-2

Tube 1 Xantho: 13532-7

WBC, Tube 1: 806-0

CSF RBC Tube 1: 792-2

Tube 2 Color: 10335-8

Tube 2 Clarity: 49736-2

Tube 2 Xan: 13532-7

Tube 3 Color: 10335-8

Tube 3 Clarity: 49736-2

Tube 3 Xan: 13532-7

WBC, Tube 2: 46088-1

RBC Tube 2: 46087-3

WBC, Tube 3: 46089-9

RBC Tube 3: 46091-5

Basos CSF: 55771-0

Blasts CSF: 56470-8

Eos CSF: 55778-5

Immature Cells CSF: 55794-2

Lymphs CSF: 55787-6

Macrophage CSF: 55794-2

NRBC CSF: 55780-1

Segs CSF: 55791-8

Cells in Diff: 19075-1

Plasma Cells CSF:

Lymphoma Cells CSF: 55794-2

Other Cells CSF:

Beaker LOINC

COMPLETE: N/A
CSF CLARITY: 49736-2
CSF COLOR: 10335-8
CSF RBC COUNT: 792-2
CSF WBC COUNT: N/A
CSF XANTHO: N/A

Reviewed Date

9/2/2021

Beaker Names

Beaker Procedure Name: CELL COUNT W/DIFFERENTIAL CEREBROSPINAL FLUID
Beaker Display Name: Cell Count w/Differential Cerebrospinal Fluid
BEAKER TEST NAME: CELL COUNT WITH DIFF, CSF
BEAKER TEST REPORT NAME: CELL COUNT WITH DIFF, CSF

Beaker Synonyms

CSF CELL COUNT WITH DIFF

Beaker Collection and Specimen Handling

BEAKER COLLECTION: TUBE 3

Beaker Location, Container and Temperature

BW HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
BL HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
BR HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
GM HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
LH HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
PH HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
RC HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
UN HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated
ZH HEMATOLOGY: CSF TUBE R (Preferred)-Refrigerated