Test Directory

Test Code
FLDHP
Test Name
Cell Count, Body Fluid with Hematopathologist Interpretation
CPT Codes
89050 (note: if diff performed CPT 89051 is charged), 80503 or 80504 or 80505
Included Tests
  • Red Blood Cell Count
  • Total Nucleated Cell Count
  • Total Nucleated Cell Differential
  • Hematopathologist Interpretation
  • Color
  • Appearance

Reflexed when appropriate:

  • Gram stain when suspected bacteria or fungi are present.
  • Blood parasite when suspected organisms are present.
Expected Turnaround Time
1 day
Clinical Utility

Used to evaluate body fluid for the presence of red blood cells and nucleated cells.

Specimen and Container Info

Specimen

Containers

Volume

Synovial Fluid

Preferred Collection Container: Lavender Top (EDTA)

Alternate Collection Container: Red Top, Plain or Dark Green Top (Lithium Heparin)

1.0 mL

Serous Fluid

Preferred Collection Container: Lavender Top (EDTA)

Alternate Collection Container: Red Top, Plain or Dark Green Top (Lithium Heparin)

1.0 mL

Amniotic

Preferred Collection Container: Sterile, Non-Additive container

Alternate Collection Container: Lavender Top (EDTA)

1.0 mL

Bronchial Lavage

Preferred Collection Container: Sterile, Non-Additive container

Alternate Collection Container: Lavender Top (EDTA)

1.0 mL

Processing and Submission Instructions

Requisitions must state site of specimen collection.

Transport Instructions

Transport to laboratory at room temperature.

Stability Requirements

Room Temperature

24 hours

Causes for Rejection
  • Quantity not sufficient for analysis
  • Samples outside stability
  • Samples that are clotted
Methodology
Automated or manual cell count and manual differential if warranted.
Reference Intervals

Fluid Type

Reference Interval

Synovial

Red Blood Cells: 0 - 2000 RBC/cmm

Total Nucleated Cells: 13 - 180 TNC/cmm

Total Nucleated Differential:

Neutrophils: 0 - 25%

Lymphocytes: 0 - 78%

Monocytes: 0 - 71%

Histiocytes: 0 - 26%

Absolute Neutrophils: Not established.

Serous

Not established.

Amniotic

Not established.

Bronchial Lavage

Not established.

Performing Location
17th Street Hospital, Carbon Hospital, Cedar Crest Hospital, Dickson City Hospital, Hazleton Hospital, Hecktown Oaks Hospital, Muhlenberg Hospital, Pocono Hospital, Roble Road Core Laboratory, Schuylkill Hospital
Alternate Names
  • Fluid Pathology Interpretation
  • Fluid Count with Path Review
Testing Schedule
Routine daily, STAT testing available