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Test 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.

Test Name Alias

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

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:

  • 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)

Processed Specimen: CSF

 

Centrifuge/Spin: No

Aliquot: No

 

Processing Instructions:

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

Transport Temperature: Room Temperature

Specimen Stability

Refrigerate: 1 hour

 

Laboratory Retention: 30 days

Test Frequency

Available 24 hours a day 7 days a week.

Reference Range

White Blood Cells (WBC)
0 – 5 /uL

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

Manual

CPT

89051

CDM Code

4068951

4064230

Epic Test ID

1230100806

Interface Order Alias

10327

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:

Reviewed Date

3/30/2018