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Test Code CCFLD CELL COUNT, FLUID

Important Note

For Synovial specimens, please order SYNBF.

Additional Codes

Software Test Code
Label Text CCFLD
EPIC LAB209

Performing Laboratory

NorDx Laboratories

Clinical Significance

If WBC’s are present in a significant volume a differential will automatically be performed, changing the CPT code and charges to a cell count with differential.

Useful For

The detection of infections, hemorrhage and cellular abnormalities

Method Name

Hemocytometer

Impedance

Light Microscopy

Reference Values

An interpretive report will be issued

Days and Times Test Performed

Monday through Sunday

Report Available

1 Day

Available Stat

Specimen Type

Body Fluid – Acceptable Fluid Types:

  • CSF
  • Peritoneal
  • Pericardial
  • Ventricular
  • Pleural
  • Other: BAL

Preferred Container

CSF Screw-capped Sterile Vial – CSF Specimens

Lavender Top Tube (EDTA) – Other Fluid Types

Preferred Volume

Body Fluid: 1 mL (CSF Screw-capped Sterile Vial)

Body Fluid: 1 mL (Green Top Tube (Sodium Heparin))

Body Fluid: 1 mL (Lavender Top Tube (EDTA))

Minimum Volume

Body Fluid: 0.5 mL (CSF Screw-capped Sterile Vial)

Body Fluid: 0.5 mL (Green Top Tube (Sodium Heparin))

Body Fluid: 0.5 mL (Lavender Top Tube (EDTA))

Specimen Collection and Handling

1. Deliver to NorDx Hematology ASAP.

2. Cell counts may be falsely decreased if there is a delay in testing.

3. Send ambient temperature within 1 hour.

4. Indicate source of specimen on request form.

Acceptable Fluid Types:

  • CSF
  • Peritoneal
  • Pericardial
  • Ventricular
  • Pleural
  • Other: BAL

Specimen Stability Information

Specimen Type: Body Fluid

Desired Stability: 1 hour at ambient temperature

NOTE: Cellular degeneration of CSF can begin within 1 hour of collection, especially neutrophils. If storage is necessary, pleural and peritoneal fluids can be stored refrigerated for up to 24 hours. Due to their irretrievable nature, body fluid specimens that exceed the stability time frame will be run and reported with a disclaimer. 

Acceptable Alternative Container(s)

Green Top Tube (Sodium Heparin) – Other Fluid Types

Add On Capable

Not Permitted

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer
89050 Cell Count, Miscellaneous Body Fluids (eg: Cerebrospinal Fluid (CSF), Joint Fluid), Except Blood  
89051 Cell Count with Differential Count, Miscellaneous Body Fluids (eg: Cerebrospinal Fluid (CSF), Joint Fluid), Except Blood if Indicated

Performing Laboratory Location

NorDx Laboratories

Rejection Information

Clotted specimens may be rejected as clots invalidate quantitative count

Advance Beneficiary Notice Requirements

No ABN Required

Profile Information

Individual Test Description
APPEARANCE, FLUID
BANDS, PERCENT, FLUID
BASOPHILS, PERCENT, FLUID
EOSINOPHILS, PERCENT, FLUID
ERYTHROCYTES, FLUID
FLUID TYPE
HISTIOCYTES, PERCENT, FLUID
LEUKOCYTES, FLUID
LYMPHOCYTES, PERCENT, FLUID
MESOTHELIAL CELLS, PERCENT, FLUID
MONOCYTE / MACROPHAGE, PERCENT, FLUID
MONOHISTIOCYTES, PERCENT, FLUID
POLYMORPHONUCLEAR CELLS, PERCENT, FLUID
SUPERNATANT
TUBE NUMBER (CSF)

 

Please note:  Multiple tubes are submitted for CSF (typically 4). 

If the red blood cell count performed on Tube 4 of a CSF collection (or the highest number tube) is > 50/mm3 a cell count (and differential if indicated) will automatically be reflexed to be completed on Tube 1 (or the lowest number tube). 

 

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