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Test Code LAB3921 Cell Count with Reflex Differential, Body Fluid

Performing Laboratory

St. Louis Children's Hospital Laboratory - Hematology

Specimen Requirements

Patient Preparation: None

Collection Container/Tube:

Preferred: Sterile container or syringe

Acceptable: Lavender-top (EDTA) or Sodium Heparin tube for synovial fluids to avoid clotting

 Submission Container/Tube: If specimen is coming from outside facility send sample STAT in original container.

Specimen Collection Volume: minimum 1.0 mL

Special Instructions: For synovial fluids collected in vacutainers with anticoagulant, immediately invert tube gently 8-10 times to mix fluid and anticoagulant (this will avoid specimen clotting). Forward specimen to lab promptly at ambient temperature. Specimen source is required on order for processing.

Sample Rejection

Mislabeled or unlabeled specimens

Samples that are >24 hours old

Clotted specimens

Logistics

Test Availability: Monday-Sunday

Cut-off time: None, performed as received

Turnaround Time: Same Day; 1 hour from receipt in performing lab

Reference Values

Reference Interval: No established reference intervals

Critical Value: None established

Methodology

Cells enumberated by automated method or Hemocytomer

Differential, if performed, is done on smear prepared by cytocentrifugation method

Limitations

  • NA

Additional Information

FOR SLCH CORE LABORATORY USE ONLY

Lab Processing Instructions: DO NOT SPIN. Give specimen directly to Heme/Coag bench

Processed Volume: minimum 1.0 mL fluid

Analyte Stability:

Specimen Type Temperature Time
CSF (unprocessed)     Ambient 1 hour
  Refrigerated     24 hours
  Frozen  unacceptable       

 

Test Classification and CPT Code

89051 - cell count

LOINC

Fluid type: 14725-6

Color Fld: 6824-7

Clarity Fld: 9335-1

Total Cells Fld: 38256-4

Nucl Cells Fld: 26466-3

Last Reviewed

07/2025