Body Fluid Cell Count

Message
Performed in the Hematology Laboratory x5475, 76.
Assessed in conjunction with a Body Fluid  differential.  
 


Test Code
BFCT


CPT Codes
89051

Includes
Nucleated cell count and description of fluid color and clarity.  DOES NOT INCLUDE RBC count.


Preferred Specimen
Specimen types include pleural, ascites, pericardial, peritoneal, bronchealveolar lavage, and serous (joint) fluids.
Wound or drain Fluids are not appropriate for this assay due to marked degeneration of WBC and RBC.


Minimum Volume
1 mL fluid 


Transport Container
3 mL Purple top (EDTA) preffered to prevent clotting. Red top, sterile screw cap tube, or sterile urine container also acceptable if specimen is not clotted.


Transport Temperature
Room Temperature


Specimen Stability
Up to 4 hours at Room Temperature, or refrigerated at 2-8 degrees C for up to 8 hours.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Refer to Limitations, below.


Methodology
Manual Chamber count or impedence particle counting on automated cell counter

Setup Schedule
24/7


Limitations
Wound  or drain fluids:  When the fluid specimen is suboptimal due to the presence of large numbers of broken or degenerated cells, large amounts of debris or material that is not able to be diluted out, or if the sample is highly viscous,  THE CELL COUNTS will not be performed.  The results will be highly erroneous and unsuitable for clinical use.   A smear will be prepared and evaluated if possible.


Reference Range

Appearance:  clear, pale yellow
Cell counts:
Synovial fluid:  under 200 Nucleated cells per uL
Ascitic fluid: under 300 Nucleated cells per uL 
 




Clinical Significance
Evaluation of the appearance and number of Nucleated cells to rule out infection or malignancy.




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.