Cell Count, Body Fluid

Message
Acceptable body fluids include: synovial, pleural, peritoneal, pericardial, and drainage. Please specify body site for drainage fluids.


Test Code
BFC


CPT Codes
89051

Includes
  • Volume
  • Color
  • Character
  • RBC count (pleural fluid only)
  • WBC count
  • If the WBC count is >=5/mm3, a differential is performed.
  • If the WBC count is <5/mm3, a scan is performed for abnormal cells.


Preferred Specimen
1-3 mL Fluid


Instructions
Specimens should be delivered to the York Hospital Laboratory within 30 minutes if possible.


Transport Container
  1. Body Fluid
__ Lavender Top EDTA Tube
__ Green Top Lithium Heparin Tube
__ Sterile Container, Leak-Proof (acceptable unless the specimen is clotted)


Transport Temperature
Refrigerated


Specimen Stability
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Not Recommended 


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Frozen samples
Samples with large clots


Methodology
Microscopic Examination

Setup Schedule
Daily


Report Available
Same Day


Clinical Significance
Cell counts are performed on body fluids to aid in the diagnosis of joint disease, systemic disease, inflammation, malignancy, infection, and trauma. Trauma and hemorrhage may result in increased red and white cells; red cells predominate. White blood cells are increased in inflammatory and infectious processes: neutrophils predominate in bacterial infections, lymphocytes predominate in viral infections, macrophages may be increased in inflammatory and infectious processes, and eosinophils may be increased in parasitic or fungal infections.




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.