Cell Count and Differential, Pleural Fluid : 327

Test Code
PLEUCT or 327


CPT Codes
89051

Includes
Color, Appearance, Total Nucleated Cell Count, Neutrophils %, Lymphocytes %, Monocyte/Macrophage %, Eosinophils %, Basophils %, Mesothelial %


Transport Container
Preferred Specimen
3 mL pleural fluid in an EDTA (lavender-top) tube or sodium heparin (green-top) tube

Alternative Specimens
Red-top (non-clot activator/non-gel) tube or plastic vial

Minimum Volume
1 mL


Transport Temperature
Room temperature.


Specimen Stability
Room temperature: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Clotted; Gel separator tube unacceptable


Methodology
Microscopy Visual Examination

Setup Schedule
Monday - Saturday


Report Available
1 day


Reference Range
Color Pale Yellow


Appearance  Clear


Total Nucleated Cell Count  Not established


Neutrophils, % Not established


Lymphocytes, % Not established


Monocyte/Macrophage, % Not established


Eosinophils, % Not established


Basophils, % Not established


Mesothelial, % Not established



Clinical Significance
An excess accumulation of fluid within the pleura may occur in the presence of the following disease states: transudates, exudates, neoplastic disease, pulmonary emboli/infarction, collagen vascular disease, gastrointestinal disease, postmyocardial infarction, and trauma.


Performing Laboratory
med fusion



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.