CATECHOLAMINES,PL [EP/NOR/DOP]

LAB963

Collect

Green (sodium or lithium heparin). Collect on ice.

Patient Preparation

Patient should be calm and supine for 30 minutes prior to collection.

Specimen Preparation

Specimen should be centrifuged and frozen within one hour (refrigerated centrifuge is preferred but not required). Transfer 4 mL plasma to an ARUP Standard Transport
Tube. (Min: 2.1 mL)

Unacceptable Conditions

EDTA plasma, serum, or urine.

Storage/Transport Temperature

Plain green and PST are both acceptable.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen at -20°C: 1 month; Frozen at -70°C: 1 year

Notes

Medications that may interfere with catecholamines and metabolites include amphetamines and amphetamine-like compounds, appetite suppressants, bromocriptine, buspirone, caffeine, carbidopa-levodopa (Sinemet), clonidine, dexamethasone, diuretics (in doses sufficient to deplete sodium), ethanol, isoproterenol, labetalol, methyldopa (Aldomet), MAO inhibitors, nicotine, nose drops, propafenone (Rythmol), reserpine, theophylline, tricyclic antidepressants, and vasodilators. The effect of drugs on catecholamine results may not be predictable. 

For optimum results, patient should be supine for 30 minutes prior to collection.

Children, particularly those under 2 years of age, often show an elevated catecholamine response to stress.

Performed

Sun, Tue-Sat

Methodology

Quantitative High Performance Liquid Chromatography

Reported

1-3 days

Synonyms

  • Epinephrine, Plasma
  • Noradrenaline, Plasma
  • Norepinephrine, Plasma
  • Plasma Catecholamines
  • Dopamine, Plasma
  • Adrenalin, Plasma
  • LAB963

Ordering Recommendations

Not recommended for evaluation of pheochromocytoma or paraganglioma. Use to evaluate clinical symptoms of excess catecholamine secretion. For the assessment of pheochromocytoma and paraganglioma, refer to Metanephrines, Plasma (Free) (0050184) or Metanephrines Fractionated by HPLC-MS/MS, Urine (2007996).

Reference Interval

Supine
Components
Reference Interval
Epinephrine
Age

2-10 days
11 days-3 months
4-11 months
12-23 months
24-35 months
3-17 years
18 years and older
36-400 pg/mL
55-200 pg/mL
55-440 pg/mL
36-640 pg/mL
18-440 pg/mL
18-460 pg/mL
10-200 pg/mL

Norepinephrine
Age

2-10 days
11 days-3 months
4-11 months
12-23 months
24-35 months
3-17 years
18 years and older
170-1180 pg/mL
370-2080 pg/mL
270-1120 pg/mL
68-1810 pg/mL
170-1470 pg/mL
85-1250 pg/mL
80-520 pg/mL

Dopamine2 days and older: 0-20 pg/mL

Interpretive Data

Small increases in catecholamines (less than 2 times the upper reference limit) usually are the result of physiological stimuli, drugs, or improper specimen collection.  Significant elevation of one or more catecholamines (2 or more times the upper reference limit) is associated with an increased
probability of a neuroendocrine tumor. Measurement of plasma or urine fractionated metanephrines provides better diagnostic sensitivity than measurement of catecholamines.  

Higher catecholamine concentrations are observed in specimens collected from upright or standing adults.  Epinephrine may be increased by approximately 20 percent; norepinephrine up to 700 pg/mL; dopamine, unchanged.

CPT Codes

82384
Collection

LAB963

Collect

Green (sodium or lithium heparin). Collect on ice.

Patient Preparation

Patient should be calm and supine for 30 minutes prior to collection.

Specimen Preparation

Specimen should be centrifuged and frozen within one hour (refrigerated centrifuge is preferred but not required). Transfer 4 mL plasma to an ARUP Standard Transport
Tube. (Min: 2.1 mL)

Unacceptable Conditions

EDTA plasma, serum, or urine.

Storage/Transport Temperature

Plain green and PST are both acceptable.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen at -20°C: 1 month; Frozen at -70°C: 1 year

Notes

Medications that may interfere with catecholamines and metabolites include amphetamines and amphetamine-like compounds, appetite suppressants, bromocriptine, buspirone, caffeine, carbidopa-levodopa (Sinemet), clonidine, dexamethasone, diuretics (in doses sufficient to deplete sodium), ethanol, isoproterenol, labetalol, methyldopa (Aldomet), MAO inhibitors, nicotine, nose drops, propafenone (Rythmol), reserpine, theophylline, tricyclic antidepressants, and vasodilators. The effect of drugs on catecholamine results may not be predictable. 

For optimum results, patient should be supine for 30 minutes prior to collection.

Children, particularly those under 2 years of age, often show an elevated catecholamine response to stress.
Ordering

Performed

Sun, Tue-Sat

Methodology

Quantitative High Performance Liquid Chromatography

Reported

1-3 days

Synonyms

  • Epinephrine, Plasma
  • Noradrenaline, Plasma
  • Norepinephrine, Plasma
  • Plasma Catecholamines
  • Dopamine, Plasma
  • Adrenalin, Plasma
  • LAB963

Ordering Recommendations

Not recommended for evaluation of pheochromocytoma or paraganglioma. Use to evaluate clinical symptoms of excess catecholamine secretion. For the assessment of pheochromocytoma and paraganglioma, refer to Metanephrines, Plasma (Free) (0050184) or Metanephrines Fractionated by HPLC-MS/MS, Urine (2007996).
Result Interpretation

Reference Interval

Supine
Components
Reference Interval
Epinephrine
Age

2-10 days
11 days-3 months
4-11 months
12-23 months
24-35 months
3-17 years
18 years and older
36-400 pg/mL
55-200 pg/mL
55-440 pg/mL
36-640 pg/mL
18-440 pg/mL
18-460 pg/mL
10-200 pg/mL

Norepinephrine
Age

2-10 days
11 days-3 months
4-11 months
12-23 months
24-35 months
3-17 years
18 years and older
170-1180 pg/mL
370-2080 pg/mL
270-1120 pg/mL
68-1810 pg/mL
170-1470 pg/mL
85-1250 pg/mL
80-520 pg/mL

Dopamine2 days and older: 0-20 pg/mL

Interpretive Data

Small increases in catecholamines (less than 2 times the upper reference limit) usually are the result of physiological stimuli, drugs, or improper specimen collection.  Significant elevation of one or more catecholamines (2 or more times the upper reference limit) is associated with an increased
probability of a neuroendocrine tumor. Measurement of plasma or urine fractionated metanephrines provides better diagnostic sensitivity than measurement of catecholamines.  

Higher catecholamine concentrations are observed in specimens collected from upright or standing adults.  Epinephrine may be increased by approximately 20 percent; norepinephrine up to 700 pg/mL; dopamine, unchanged.

Administrative

CPT Codes

82384

CBC NO AUTO DIFF

LAB294

CBC

Collect

One 4.0 mL Purple top (EDTA whole blood).  Minimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and results will be reported with this disclaimer: "Low volume sample, results may be unreliable."

Performed

Daily

Methodology

Automated Cell Counter. Test does not include platelet count or automated differential.

Reported

Routine requests are reported within 8 hours.

Synonyms

  • LAB294
  • HEMOGRAM

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
WHITE BLOOD CELL COUNT M/F 0 4D 8.0 38.0 10^9//L
M/F 4D 15D 6.0 17.0 10^9//L
M/F 15D 2 5.0 15.0 10^9//L
M/F 2 13 4.0 14.0 10^9//L
M/F 13 150 4.0 11.1 10^9//L
RED BLOOD CELL COUNT M/F 0 4D 4.10 6.10 10^12//L
M/F 4D 15D 3.80 5.60 10^12//L
M/F 15D 1M 3.80 5.60 10^12//L
M/F 1M 3M 3.80 5.20 10^12//L
M/F 3M 7M 3.90 5.30 10^12//L
M/F 7M 13 4.20 5.40 10^12//L
M/F 13 18 4.20 5.40 10^12//L
M 18 150 4.76 6.09 10^12//L
F 18 150 4.18 5.64 10^12//L
HEMOGLOBIN M/F 0 4D 14.5 22.5 g/dL
M/F 4D 15D 12.5 21.5 g/dL
M/F 15D 1M 10.0 18.0 g/dL
M/F 1M 3M 9.0 14.0 g/dL
M/F 3M 2 9.5 13.5 g/dL
M/F 2 13 11.5 15.5 g/dL
M/F 13 18 13.0 16.0 g/dL
M 18 150 14.3 18.1 g/dL
F 18 150 12.1 16.3 g/dL
HEMATOCRIT M/F 0 4D 45.0 67.0 %
M/F 4D 15D 39.0 66.0 %
M/F 15D 1M 31.0 55.0 %
M/F 1M 7M 28.0 42.0 %
M/F 7M 2 33.0 39.0 %
M/F 2 13 34.0 45.0 %
M/F 13 18 37.0 49.0 %
M 18 150 39.2 50.2 %
F 18 150 35.7 46.7 %
MEAN CORPUSCULAR VOLUME M/F 0 4D 95.0 121.0 fL
M/F 4D 15D 86.0 126.0 fL
M/F 15D 1M 85.0 123.0 fL
M/F 1M 3M 77.0 115.0 fL
M/F 3M 7M 74.0 108.0 fL
M/F 7M 2 70.0 86.0 fL
M/F 2 13 75.0 95.0 fL
M/F 13 18 78.0 98.0 fL
M/F 18 150 80.0 100.0 fL
MEAN CORPUSCULAR HGB M/F 0 4D 31.0 37.0

pg

M/F 4D 15D 28.0 40.0 pg
M/F 15D 1M 28.0 40.0 pg
M/F 1M 3M 26.0 34.0 pg
M/F 3M 7M 25.0 35.0 pg
M/F 7M 2 23.0 31.0 pg
M/F 2 13 24.0 33.0 pg
M/F 13 18 25.0 35.0 pg
M/F 18 150 27.5 35.1 pg
MEAN CORPUSCULAR HGB CONC M/F 0 4D 29.0 37.0 g/dL
M/F 4D 15D 28.0 38.0 g/dL
M/F 15D 3M 29.0 37.0 g/dL
M/F 3M 2 30.0 36.0 g/dL
M/F 2 18 31.0 37.0 g/dL
M/F 18 150 32.0 36.0 g/dL
RDW-CV M/F 0 150 11.7 14.2 %
RDW-SD M/F 0 150 37.1 48.8 fL
PLATELET COUNT M/F 0 150 150 400 10^9/L
NRBC % M/F 0 150 0.0 0.0 %
NRBC ABS M/F 0 150 0.00 0.00 10^9/L

Performed by

PCL Clinical Laboratory - Core

CPT Codes

85027

Collection

LAB294

CBC

Collect

One 4.0 mL Purple top (EDTA whole blood).  Minimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and results will be reported with this disclaimer: "Low volume sample, results may be unreliable."
Ordering

Performed

Daily

Methodology

Automated Cell Counter. Test does not include platelet count or automated differential.

Reported

Routine requests are reported within 8 hours.

Synonyms

  • LAB294
  • HEMOGRAM
Result Interpretation

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
WHITE BLOOD CELL COUNT M/F 0 4D 8.0 38.0 10^9//L
M/F 4D 15D 6.0 17.0 10^9//L
M/F 15D 2 5.0 15.0 10^9//L
M/F 2 13 4.0 14.0 10^9//L
M/F 13 150 4.0 11.1 10^9//L
RED BLOOD CELL COUNT M/F 0 4D 4.10 6.10 10^12//L
M/F 4D 15D 3.80 5.60 10^12//L
M/F 15D 1M 3.80 5.60 10^12//L
M/F 1M 3M 3.80 5.20 10^12//L
M/F 3M 7M 3.90 5.30 10^12//L
M/F 7M 13 4.20 5.40 10^12//L
M/F 13 18 4.20 5.40 10^12//L
M 18 150 4.76 6.09 10^12//L
F 18 150 4.18 5.64 10^12//L
HEMOGLOBIN M/F 0 4D 14.5 22.5 g/dL
M/F 4D 15D 12.5 21.5 g/dL
M/F 15D 1M 10.0 18.0 g/dL
M/F 1M 3M 9.0 14.0 g/dL
M/F 3M 2 9.5 13.5 g/dL
M/F 2 13 11.5 15.5 g/dL
M/F 13 18 13.0 16.0 g/dL
M 18 150 14.3 18.1 g/dL
F 18 150 12.1 16.3 g/dL
HEMATOCRIT M/F 0 4D 45.0 67.0 %
M/F 4D 15D 39.0 66.0 %
M/F 15D 1M 31.0 55.0 %
M/F 1M 7M 28.0 42.0 %
M/F 7M 2 33.0 39.0 %
M/F 2 13 34.0 45.0 %
M/F 13 18 37.0 49.0 %
M 18 150 39.2 50.2 %
F 18 150 35.7 46.7 %
MEAN CORPUSCULAR VOLUME M/F 0 4D 95.0 121.0 fL
M/F 4D 15D 86.0 126.0 fL
M/F 15D 1M 85.0 123.0 fL
M/F 1M 3M 77.0 115.0 fL
M/F 3M 7M 74.0 108.0 fL
M/F 7M 2 70.0 86.0 fL
M/F 2 13 75.0 95.0 fL
M/F 13 18 78.0 98.0 fL
M/F 18 150 80.0 100.0 fL
MEAN CORPUSCULAR HGB M/F 0 4D 31.0 37.0

pg

M/F 4D 15D 28.0 40.0 pg
M/F 15D 1M 28.0 40.0 pg
M/F 1M 3M 26.0 34.0 pg
M/F 3M 7M 25.0 35.0 pg
M/F 7M 2 23.0 31.0 pg
M/F 2 13 24.0 33.0 pg
M/F 13 18 25.0 35.0 pg
M/F 18 150 27.5 35.1 pg
MEAN CORPUSCULAR HGB CONC M/F 0 4D 29.0 37.0 g/dL
M/F 4D 15D 28.0 38.0 g/dL
M/F 15D 3M 29.0 37.0 g/dL
M/F 3M 2 30.0 36.0 g/dL
M/F 2 18 31.0 37.0 g/dL
M/F 18 150 32.0 36.0 g/dL
RDW-CV M/F 0 150 11.7 14.2 %
RDW-SD M/F 0 150 37.1 48.8 fL
PLATELET COUNT M/F 0 150 150 400 10^9/L
NRBC % M/F 0 150 0.0 0.0 %
NRBC ABS M/F 0 150 0.00 0.00 10^9/L

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

85027

CBC PATH REVIEW

LAB755

Collect

5 mL Purple top tube (EDTA) 3 mL Purple top tube (EDTA); Microtainer (EDTA)

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: 0.5 mL Refrigerate if transport time is outside of room temp stability guidelines.

Stability (from collection to initiation)

Room temp: 8 hours; Refrigerated: 36 hours.

Remarks

This test must be ordered in conjunction with a CBC and Slide Evaluation. Please provide patient history.

Performed by

PCL Clinical Laboratory

Performed

Mon - Fri dayshift

Methodology

Microscopy

Reported

Varies

Synonyms

  • LAB755

Performed by

PCL Clinical Laboratory

Collection

LAB755

Collect

5 mL Purple top tube (EDTA) 3 mL Purple top tube (EDTA); Microtainer (EDTA)

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: 0.5 mL Refrigerate if transport time is outside of room temp stability guidelines.

Stability (from collection to initiation)

Room temp: 8 hours; Refrigerated: 36 hours.

Remarks

This test must be ordered in conjunction with a CBC and Slide Evaluation. Please provide patient history.

Performed by

PCL Clinical Laboratory

Ordering

Performed

Mon - Fri dayshift

Methodology

Microscopy

Reported

Varies

Synonyms

  • LAB755
Result Interpretation

Performed by

PCL Clinical Laboratory

Administrative

CBC WITH AUTODIF, NO MANUAL DIFF

LAB1748

CBC w/DIFF

Collect

One 4.0 mL purple top (EDTA whole blood).  Minimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood in a 1.0 mL microtainer, purple top (EDTA whole blood).

Unacceptable Conditions

Clotted sample; frozen sample; sample not properly identified; incorrect container.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time will exceed 24 hours.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

No differential will be performed if auto differential fails. If differential is needed order test code -444 Manual diff if auto diff fails. If manual differential is performed CPT 85007 will be billed.

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and will be reported with this disclaimer: "Low volume sample, results may be unreliable."

 

Performed

Daily

Methodology

Automated cell counter. Test includes hemogram, platelet count, and automated differential.

Reported

Routine requests are reported within 8 hours.

Synonyms

  • Complete Blood Count
  • LAB1748
  • CBC
  • CBC w/DIFF

Reference Interval

Component

Sex From Age To Age Normal Low Normal High Units
WHITE BLOOD CELL COUNT M/F 0 4D 8.0 38.0 10^9/L
. M/F 4D 15D 6.0 17.0 10^9/L
. M/F 15D 2 5.0 15.0 10^9/L
. M/F 2 13 4.0 14.0 10^9/L
. M/F 13 150 4.0 11.1 10^9/L
RED BLOOD CELL COUNT M/F 0 4D 4.10 6.10 10^12/L
. M/F 4D 15D 3.80 5.60 10^12/L
. M/F 15D 1M 3.80 5.60 10^12/L
. M/F 1M 3M 3.80 5.20 10^12/L
. M/F 3M 7M 3.90 5.30 10^12/L
. M/F 7M 13 4.20 5.40 10^12/L
. M/F 13 18 4.20 5.40 10^12/L
. M 18 150 4.76 6.09 10^12/L
. F 18 150 4.18 5.64 10^12/L
HEMOGLOBIN M/F 0 4D 14.5 22.5 g/dL
. M/F 4D 15D 12.5 21.5 g/dL
. M/F 15D 1M 10.0 18.0 g/dL
. M/F 1M 3M 9.0 14.0 g/dL
. M/F 3M 2 9.5 13.5 g/dL
. M/F 2 13 11.5 15.5 g/dL
. M/F 13 18 13.0 16.0 g/dL
. M 18 150 14.3 18.1 g/dL
. F 18 150 12.1 16.3 g/dL
HEMATOCRIT M/F 0 4D 45.0 67.0 %
. M/F 4D 15D 39.0 66.0 %
. M/F 15D 1M 31.0 55.0 %
. M/F 1M 7M 28.0 42.0 %
. M/F 7M 2 33.0 39.0 %
. M/F 2 13 34.0 45.0 %
. M/F 13 18 37.0 49.0 %
. M 18 150 39.2 50.2 %
. F 18 150 35.7 46.7 %
MEAN CORPUSCULAR VOLUME M/F 0 4D 95.0 121.0 fL
. M/F 4D 15D 86.0 126.0 fL
. M/F 15D 1M 85.0 123.0 fL
. M/F 1M 3M 77.0 115.0 fL
. M/F 3M 7M 74.0 108.0 fL
. M/F 7M 2 70.0 86.0 fL
. M/F 2 13 75.0 95.0 fL
. M/F 13 18 78.0 98.0 fL
. M/F 18 150 80.0 100.0 fL
MEAN CORPUSCULAR HGB M/F 0 4D 31.0 37.0 pg
. M/F 4D 15D 28.0 40.0 pg
. M/F 15D 1M 28.0 40.0 pg
. M/F 1M 3M 26.0 34.0 pg
. M/F 3M 7M 25.0 35.0 pg
. M/F 7M 2 23.0 31.0 pg
. M/F 2 13 24.0 33.0 pg
. M/F 13 18 25.0 35.0 pg
. M/F 18 150 27.5 35.1 pg
MEAN CORPUSCULAR HGB CONC M/F 0 4D 29.0 37.0 g/dL
. M/F 4D 15D 28.0 38.0 g/dL
. M/F 15D 3M 29.0 37.0 g/dL
. M/F 3M 2 30.0 36.0 g/dL
. M/F 2 18 31.0 37.0 g/dL
. M/F 18 150 32.0 36.0 g/dL
RDW-CV M/F 0 150 11.7 14.2 %
PLATELET COUNT M/F 0 150 150 400 10^9/L
MEAN PLATELET VOLUME M/F 0 150 9.6 12.8 fL
NRBC% M/F 0 150 0.0 0.0 %
NRBC ABS M/F 0 150 0.00 0.00 10^9/L
ABSOLUTE NEUTROPHILS M/F 0 6D 5.0 21.0 10^9/L
. M/F 6D 13D 1.5 10.0 10^9/L
. M/F 13D 1 1.0 9.5 10^9/L
. M/F 1 6 1.5 8.5 10^9/L
. M/F 6 10 1.5 8.0 10^9/L
. M/F 10 150 1.8 6.6 10^9/L
ABSOLUTE LYMPHOCYTES M/F 0 6D 2.0 11.5 10^9/L
. M/F 6D 6M 2.0 17.0 10^9/L
. M/F 6M 1 4.0 13.5 10^9/L
. M/F 1 2 4.0 10.5 10^9/L
. M/F 2 6 2.0 9.5 10^9/L
. M/F 6 10 1.5 7.0 10^9/L
. M/F 10 150 1.0 4.8 10^9/L
ABSOLUTE MONOCYTES M/F 0 1W 0.7 2.0 10^9/L
. M/F 1W 150 0.2 0.9 10^9/L
ABSOLUTE EOSINOPHILS M/F 0 6D 0.2 2.0 10^9/L
. M/F 6D 1 0.1 1.1 10^9/L
. M/F 1 10 0.0 0.7 10^9/L
. M/F 10 150 0.0 0.4 10^9/L
ABSOLUTE BASOPHILS M/F 0 6D 0.0 0.6 10^9/L
. M/F 6D 150 0.0 0.2 10^9/L
IG ABS M/F 0 150 0.00 0.05 10^9/L

Performed by

PCL Clinical Laboratory - Core

CPT Codes

85025 CBC (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count

85027 CBC (Hgb, Hct, RBC, WBC and platelet count)

Collection

LAB1748

CBC w/DIFF

Collect

One 4.0 mL purple top (EDTA whole blood).  Minimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood in a 1.0 mL microtainer, purple top (EDTA whole blood).

Unacceptable Conditions

Clotted sample; frozen sample; sample not properly identified; incorrect container.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time will exceed 24 hours.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

No differential will be performed if auto differential fails. If differential is needed order test code -444 Manual diff if auto diff fails. If manual differential is performed CPT 85007 will be billed.

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and will be reported with this disclaimer: "Low volume sample, results may be unreliable."

 

Ordering

Performed

Daily

Methodology

Automated cell counter. Test includes hemogram, platelet count, and automated differential.

Reported

Routine requests are reported within 8 hours.

Synonyms

  • Complete Blood Count
  • LAB1748
  • CBC
  • CBC w/DIFF
Result Interpretation

Reference Interval

Component

Sex From Age To Age Normal Low Normal High Units
WHITE BLOOD CELL COUNT M/F 0 4D 8.0 38.0 10^9/L
. M/F 4D 15D 6.0 17.0 10^9/L
. M/F 15D 2 5.0 15.0 10^9/L
. M/F 2 13 4.0 14.0 10^9/L
. M/F 13 150 4.0 11.1 10^9/L
RED BLOOD CELL COUNT M/F 0 4D 4.10 6.10 10^12/L
. M/F 4D 15D 3.80 5.60 10^12/L
. M/F 15D 1M 3.80 5.60 10^12/L
. M/F 1M 3M 3.80 5.20 10^12/L
. M/F 3M 7M 3.90 5.30 10^12/L
. M/F 7M 13 4.20 5.40 10^12/L
. M/F 13 18 4.20 5.40 10^12/L
. M 18 150 4.76 6.09 10^12/L
. F 18 150 4.18 5.64 10^12/L
HEMOGLOBIN M/F 0 4D 14.5 22.5 g/dL
. M/F 4D 15D 12.5 21.5 g/dL
. M/F 15D 1M 10.0 18.0 g/dL
. M/F 1M 3M 9.0 14.0 g/dL
. M/F 3M 2 9.5 13.5 g/dL
. M/F 2 13 11.5 15.5 g/dL
. M/F 13 18 13.0 16.0 g/dL
. M 18 150 14.3 18.1 g/dL
. F 18 150 12.1 16.3 g/dL
HEMATOCRIT M/F 0 4D 45.0 67.0 %
. M/F 4D 15D 39.0 66.0 %
. M/F 15D 1M 31.0 55.0 %
. M/F 1M 7M 28.0 42.0 %
. M/F 7M 2 33.0 39.0 %
. M/F 2 13 34.0 45.0 %
. M/F 13 18 37.0 49.0 %
. M 18 150 39.2 50.2 %
. F 18 150 35.7 46.7 %
MEAN CORPUSCULAR VOLUME M/F 0 4D 95.0 121.0 fL
. M/F 4D 15D 86.0 126.0 fL
. M/F 15D 1M 85.0 123.0 fL
. M/F 1M 3M 77.0 115.0 fL
. M/F 3M 7M 74.0 108.0 fL
. M/F 7M 2 70.0 86.0 fL
. M/F 2 13 75.0 95.0 fL
. M/F 13 18 78.0 98.0 fL
. M/F 18 150 80.0 100.0 fL
MEAN CORPUSCULAR HGB M/F 0 4D 31.0 37.0 pg
. M/F 4D 15D 28.0 40.0 pg
. M/F 15D 1M 28.0 40.0 pg
. M/F 1M 3M 26.0 34.0 pg
. M/F 3M 7M 25.0 35.0 pg
. M/F 7M 2 23.0 31.0 pg
. M/F 2 13 24.0 33.0 pg
. M/F 13 18 25.0 35.0 pg
. M/F 18 150 27.5 35.1 pg
MEAN CORPUSCULAR HGB CONC M/F 0 4D 29.0 37.0 g/dL
. M/F 4D 15D 28.0 38.0 g/dL
. M/F 15D 3M 29.0 37.0 g/dL
. M/F 3M 2 30.0 36.0 g/dL
. M/F 2 18 31.0 37.0 g/dL
. M/F 18 150 32.0 36.0 g/dL
RDW-CV M/F 0 150 11.7 14.2 %
PLATELET COUNT M/F 0 150 150 400 10^9/L
MEAN PLATELET VOLUME M/F 0 150 9.6 12.8 fL
NRBC% M/F 0 150 0.0 0.0 %
NRBC ABS M/F 0 150 0.00 0.00 10^9/L
ABSOLUTE NEUTROPHILS M/F 0 6D 5.0 21.0 10^9/L
. M/F 6D 13D 1.5 10.0 10^9/L
. M/F 13D 1 1.0 9.5 10^9/L
. M/F 1 6 1.5 8.5 10^9/L
. M/F 6 10 1.5 8.0 10^9/L
. M/F 10 150 1.8 6.6 10^9/L
ABSOLUTE LYMPHOCYTES M/F 0 6D 2.0 11.5 10^9/L
. M/F 6D 6M 2.0 17.0 10^9/L
. M/F 6M 1 4.0 13.5 10^9/L
. M/F 1 2 4.0 10.5 10^9/L
. M/F 2 6 2.0 9.5 10^9/L
. M/F 6 10 1.5 7.0 10^9/L
. M/F 10 150 1.0 4.8 10^9/L
ABSOLUTE MONOCYTES M/F 0 1W 0.7 2.0 10^9/L
. M/F 1W 150 0.2 0.9 10^9/L
ABSOLUTE EOSINOPHILS M/F 0 6D 0.2 2.0 10^9/L
. M/F 6D 1 0.1 1.1 10^9/L
. M/F 1 10 0.0 0.7 10^9/L
. M/F 10 150 0.0 0.4 10^9/L
ABSOLUTE BASOPHILS M/F 0 6D 0.0 0.6 10^9/L
. M/F 6D 150 0.0 0.2 10^9/L
IG ABS M/F 0 150 0.00 0.05 10^9/L

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

85025 CBC (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count

85027 CBC (Hgb, Hct, RBC, WBC and platelet count)

CBC WITH MANUAL DIFF IF AUTO FAILS

LAB210

CBCD

 

Collect

One 4 mL Purple top tube (EDTA).  Minimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 36 hours; Frozen: unacceptable.

Remarks

This test is ordered in conjunction with a CBC.

Performed by

PCL Clinical Laboratory - Core

Notes

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and results will be reported with this disclaimer: "Low volume sample, results may be unreliable."

Performed

Daily

Methodology

Manual differential is performed if CBC automated differential fails acceptability criteria.

Reported

Same day

Synonyms

  • LAB210

Performed by

PCL Clinical Laboratory - Core

CPT Codes

85007

Collection

LAB210

CBCD

 

Collect

One 4 mL Purple top tube (EDTA).  Minimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 36 hours; Frozen: unacceptable.

Remarks

This test is ordered in conjunction with a CBC.

Performed by

PCL Clinical Laboratory - Core

Notes

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and results will be reported with this disclaimer: "Low volume sample, results may be unreliable."
Ordering

Performed

Daily

Methodology

Manual differential is performed if CBC automated differential fails acceptability criteria.

Reported

Same day

Synonyms

  • LAB210
Result Interpretation

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

85007

CD4 HELPER T CELLS

LAB342

CD4

Collect

4 or 6 mL dark green top (sodium heparin) AND a 5 mL purple top
(EDTA)

Dark Green and EDTA must be collected at same draw.

Unacceptable Conditions

Specimens older than 24 hours; clotted, frozen, or hemolyzed specimens; specimens received in incorrect container.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: 3 mL green top (sodium heparin) and purple top tube.

 

Transport at room temperature.

Stability (from collection to initiation)

Green top tube for lymphocyte subset analysis is stable for 24 hours at room temperature. Lavender top tube for lymphocyte subset analysis is stable for 24 hours at room temperature. Lavender top tube for CBC is stable for 8 hours at room temperature and 36 hours refrigerated

Remarks

CD4 testing requires an Absolute Lymphocyte Count. A Complete Blood Count (CBC) and differential (DIFF) must be ordered. CPT code 85025 or 85027 and 85007 will be billed as needed.

Performed by

PCL Clinical Laboratory

Performed

Daily

Methodology

Flow Cytometry

Reported

Same day

Synonyms

  • LAB342
  • CD4

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
HELPER T CELLS: %CD3+CD4+ M/F 3 21 33 44 %
M/F 21 150 32 66 %
HELPER T CELLS: ABS CD3+CD4+ M/F 3 21 1216 2009 /uL
M/F 21 150 389 1868 /uL

Performed by

PCL Clinical Laboratory

CPT Codes

 86361

Collection

LAB342

CD4

Collect

4 or 6 mL dark green top (sodium heparin) AND a 5 mL purple top
(EDTA)

Dark Green and EDTA must be collected at same draw.

Unacceptable Conditions

Specimens older than 24 hours; clotted, frozen, or hemolyzed specimens; specimens received in incorrect container.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: 3 mL green top (sodium heparin) and purple top tube.

 

Transport at room temperature.

Stability (from collection to initiation)

Green top tube for lymphocyte subset analysis is stable for 24 hours at room temperature. Lavender top tube for lymphocyte subset analysis is stable for 24 hours at room temperature. Lavender top tube for CBC is stable for 8 hours at room temperature and 36 hours refrigerated

Remarks

CD4 testing requires an Absolute Lymphocyte Count. A Complete Blood Count (CBC) and differential (DIFF) must be ordered. CPT code 85025 or 85027 and 85007 will be billed as needed.

Performed by

PCL Clinical Laboratory

Ordering

Performed

Daily

Methodology

Flow Cytometry

Reported

Same day

Synonyms

  • LAB342
  • CD4
Result Interpretation

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
HELPER T CELLS: %CD3+CD4+ M/F 3 21 33 44 %
M/F 21 150 32 66 %
HELPER T CELLS: ABS CD3+CD4+ M/F 3 21 1216 2009 /uL
M/F 21 150 389 1868 /uL

Performed by

PCL Clinical Laboratory

Administrative

CPT Codes

 86361

CDIFFICILE TOXIN PCR

LAB3716
CDIFTOXPCR

Collect

500 uL of unformed or semi-formed stool in a sterile container with no preservatives or additives.

Pediatric Collection

Test is not performed for patients less than 2 years of age. For patients older than 2 years, the minimum testing volume is 100 uL of fresh, unformed stool.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; samples with preservatives; formed samples; multiple samples received in a 7 day period.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature. If delivery is not expected to occur within 2 hours,  refrigerate and deliver on a cold pack.

Offsite: Keep refrigerated and deliver to lab immediately on cold pack. Refrigerated sample must be received within 5 days of collection. Frozen samples are acceptable, but fresh is preferred.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 5 days.

Remarks

The results of this test should be coupled with clinical indicators for diagnosis, as Toxin B may be detected for an extended period after successful treatment. A negative CDIFTOXPCR result does not excludeC. difficile involvement in a disease process.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics and Virology Departments

Notes

This assay will identify non-027/NAP/BI isolates representing toxinotype XIV and occasionally toxinotypes IV, V and X as presumptive positives for 027/NAP/BI.

Vagisil cream and zinc oxide paste are potential interfering substances.

Performed

Daily, 7:00 AM to 10:00 PM

 

Methodology

Cepheid GeneXpert Xpert C. difficile/Epi Assay

Reported

Same day if sample is received within specified testing hours above.

Next day if received outside of specified testing hours.

Synonyms

  • LAB3716
  • CDIFTOXPCR
  • CDIF
  • C DIFF
  • CLOSTRIDIUM DIFFICILE TOXIN PCR

Ordering Recommendations

Samples for previously negative patients may only be submitted seven days or more after the previous sample collection date.

Samples for previously positive patients may only be submitted 14 days or more after the previous sample collection date.

Interpretive Data

Not detected (negative)

Detected (positive)

Detected (positive), NAP1 presumptive

Performed by

PCL Clinical Laboratory - Molecular Diagnostics and Virology Departments

CPT Codes

87493

Collection

LAB3716
CDIFTOXPCR

Collect

500 uL of unformed or semi-formed stool in a sterile container with no preservatives or additives.

Pediatric Collection

Test is not performed for patients less than 2 years of age. For patients older than 2 years, the minimum testing volume is 100 uL of fresh, unformed stool.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; samples with preservatives; formed samples; multiple samples received in a 7 day period.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature. If delivery is not expected to occur within 2 hours,  refrigerate and deliver on a cold pack.

Offsite: Keep refrigerated and deliver to lab immediately on cold pack. Refrigerated sample must be received within 5 days of collection. Frozen samples are acceptable, but fresh is preferred.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 5 days.

Remarks

The results of this test should be coupled with clinical indicators for diagnosis, as Toxin B may be detected for an extended period after successful treatment. A negative CDIFTOXPCR result does not excludeC. difficile involvement in a disease process.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics and Virology Departments

Notes

This assay will identify non-027/NAP/BI isolates representing toxinotype XIV and occasionally toxinotypes IV, V and X as presumptive positives for 027/NAP/BI.

Vagisil cream and zinc oxide paste are potential interfering substances.

Ordering

Performed

Daily, 7:00 AM to 10:00 PM

 

Methodology

Cepheid GeneXpert Xpert C. difficile/Epi Assay

Reported

Same day if sample is received within specified testing hours above.

Next day if received outside of specified testing hours.

Synonyms

  • LAB3716
  • CDIFTOXPCR
  • CDIF
  • C DIFF
  • CLOSTRIDIUM DIFFICILE TOXIN PCR

Ordering Recommendations

Samples for previously negative patients may only be submitted seven days or more after the previous sample collection date.

Samples for previously positive patients may only be submitted 14 days or more after the previous sample collection date.

Result Interpretation

Interpretive Data

Not detected (negative)

Detected (positive)

Detected (positive), NAP1 presumptive

Performed by

PCL Clinical Laboratory - Molecular Diagnostics and Virology Departments

Administrative

CPT Codes

87493

CEBPA MUTATION BY PCR

{so

<div id="testSidebar" class="span9">

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<div class="tab-pane active" id="Collection"><div><div class="dataDivider altColor"></div><div class="dataContent"><span class="hiddenen" ><p>LAB3746</p></span></div></div><div><h4>Collect</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>4.0 mL EDTA whole blood (or bone marrow); purple or pink</p></span></div></div><div><h4>Specimen Preparation</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>1.0 mL minimum volume</p></span></div></div><div><h4>Unacceptable Conditions</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>Serum. Frozen.</p></span></div></div><div><h4>Storage/Transport Temperature</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>Ambient or refrigerated.</p></span></div></div><div><h4>Performed by</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>PCL Clinical Laboratory</p></span></div></div></div><div class="tab-pane" id="Ordering"><div><h4>Performed</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>1 day a week</p></span></div></div><div><h4>Methodology</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>PCR and direct sequencing</p></span></div></div><div><h4>Reported</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>7-10 days</p></span></div></div><div><h4>Synonyms</h4><div class="dataDivider altColor"></div><div class="dataContent"><ul><li>LAB3746</li></ul></div></div></div><div class="tab-pane" id="ResultInterpretation"><div><h4>Reference Interval</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>No molecular evidence of a CEBPA mutation detected.</p></span></div></div><div><h4>Performed by</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>PCL Clinical Laboratory</p></span></div></div></div><div class="tab-pane" id="Administrative"><div><h4>CPT Codes</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>81404</p></span></div></div></div> </div>
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<div class="tab-pane" id="Collection"><div><div class="dataDivider altColor"></div><div class="dataContent"><span class="hiddenen" ><p>LAB3746</p></span></div></div><div><h4>Collect</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>4.0 mL EDTA whole blood (or bone marrow); purple or pink</p></span></div></div><div><h4>Specimen Preparation</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>1.0 mL minimum volume</p></span></div></div><div><h4>Unacceptable Conditions</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>Serum. Frozen.</p></span></div></div><div><h4>Storage/Transport Temperature</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>Ambient or refrigerated.</p></span></div></div><div><h4>Performed by</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>PCL Clinical Laboratory</p></span></div></div></div>
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<div class="tab-pane" id="Ordering"><div><h4>Performed</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>1 day a week</p></span></div></div><div><h4>Methodology</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>PCR and direct sequencing</p></span></div></div><div><h4>Reported</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>7-10 days</p></span></div></div><div><h4>Synonyms</h4><div class="dataDivider altColor"></div><div class="dataContent"><ul><li>LAB3746</li></ul></div></div></div>
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<div class="tab-pane" id="ResultInterpretation"><div><h4>Reference Interval</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>No molecular evidence of a CEBPA mutation detected.</p></span></div></div><div><h4>Performed by</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>PCL Clinical Laboratory</p></span></div></div></div>
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<div class="tab-pane" id="Administrative"><div><h4>CPT Codes</h4><div class="dataDivider altColor"></div><div class="dataContent"><span><p>81404</p></span></div></div></div>
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urce}

{/source}

CELIAC DISEASE REFLEX PANEL

LAB5336

Collect

One 4.5 mL red or gold top tube (serum separator)

NOTE: 1.5 mL serum (or more) needed for initial testing and reflex orders

 

Storage/Transport Temperature

Internal: Send tube to lab immediately

Offsite: Spin tube and send refrigerated to lab.

Remarks

The initial testing performed will be an IgA.

If the IgA is <10 mg/dL, the reflex tests that will be ordered are the Tissue Transglutaminase IgG Antibody and the Deaminated Gliadin Peptide IgG Antibody.

If the IgA is >=10 mg/dL, the reflex tests that will be ordered are the Tissue Transglutaminase IgA Antibody.

Performed by

 PCL Clinical Lab

ARUP

Performed

Daily

Methodology

Nephelometry/Indirect Fluorescent Antibody/Enzyme-Linked Immunosorbent Assay

Reported

2-5 days

Synonyms

  • TTGA
  • TISSUE TRANSGLUTAMINASE IGA
  • LAB5336 CELIAC DISEASE

Performed by

 PCL Clinical Lab

ARUP

CPT Codes

82784, 83516x2

Collection

LAB5336

Collect

One 4.5 mL red or gold top tube (serum separator)

NOTE: 1.5 mL serum (or more) needed for initial testing and reflex orders

 

Storage/Transport Temperature

Internal: Send tube to lab immediately

Offsite: Spin tube and send refrigerated to lab.

Remarks

The initial testing performed will be an IgA.

If the IgA is <10 mg/dL, the reflex tests that will be ordered are the Tissue Transglutaminase IgG Antibody and the Deaminated Gliadin Peptide IgG Antibody.

If the IgA is >=10 mg/dL, the reflex tests that will be ordered are the Tissue Transglutaminase IgA Antibody.

Performed by

 PCL Clinical Lab

ARUP

Ordering

Performed

Daily

Methodology

Nephelometry/Indirect Fluorescent Antibody/Enzyme-Linked Immunosorbent Assay

Reported

2-5 days

Synonyms

  • TTGA
  • TISSUE TRANSGLUTAMINASE IGA
  • LAB5336 CELIAC DISEASE
Result Interpretation

Performed by

 PCL Clinical Lab

ARUP

Administrative

CPT Codes

82784, 83516x2

CELL COUNT AND DIFFERENTIAL, BODY FLUID

LAB3475

BFCTDIFF

Collect

At least 2 mL of fluid in a 4.0 mL purple top tube (EDTA) or other sterile tube, container or syringe.
Indicate body fluid source on order or requisition.
Remove needle prior to transportation when submitting sample in a syringe.

Unacceptable Conditions

Container with needle attached; sample not properly identified; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab as soon as possible at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 24 hours; Frozen: Unacceptable.

Remarks

Indicate body fluid SOURCE on requisition.

For synovial fluid, if crystals are suspected under light microscopy and their presence confirmed using polarization, test CRYS SYN (Synovial Fluid Crystals) will also be reported and billed.

Performed by

PCL Clinical Laboratory - Core Hematology

Performed

Upon receipt

Methodology

Automated and microscopic examination

Reported

Same day

Synonyms

  • LAB3475
  • BFCTDIFF

Reference Interval

The reference range and other method performance specifications have not been established for this test.  Results must be integrated into the clinical context for interpretation.

Performed by

PCL Clinical Laboratory - Core Hematology

CPT Codes

89051

89060 will also be billed if crystals are seen and confirmed in synovial fluid.

Collection

LAB3475

BFCTDIFF

Collect

At least 2 mL of fluid in a 4.0 mL purple top tube (EDTA) or other sterile tube, container or syringe.
Indicate body fluid source on order or requisition.
Remove needle prior to transportation when submitting sample in a syringe.

Unacceptable Conditions

Container with needle attached; sample not properly identified; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab as soon as possible at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 24 hours; Frozen: Unacceptable.

Remarks

Indicate body fluid SOURCE on requisition.

For synovial fluid, if crystals are suspected under light microscopy and their presence confirmed using polarization, test CRYS SYN (Synovial Fluid Crystals) will also be reported and billed.

Performed by

PCL Clinical Laboratory - Core Hematology

Ordering

Performed

Upon receipt

Methodology

Automated and microscopic examination

Reported

Same day

Synonyms

  • LAB3475
  • BFCTDIFF
Result Interpretation

Reference Interval

The reference range and other method performance specifications have not been established for this test.  Results must be integrated into the clinical context for interpretation.

Performed by

PCL Clinical Laboratory - Core Hematology

Administrative

CPT Codes

89051

89060 will also be billed if crystals are seen and confirmed in synovial fluid.

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