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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Body Fluid Cell Count and Differential Automated

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Body Fluid Cell Count and Differential Automated  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
FLCDA
Test Workstation :
AHEM1
Specimen Type:
Cerebrospinal fluid, peritoneal fluid, pleural fluid, synovial fluid
Tube Type:
Fluid container/ EDTA for Synovial Fluid
Collection Volume:
2.0 mL (minimum 1.0 mL)
Cause for Rejection:
Specimen more than 1 hour old, specimen grossly clotted
Storage:
Ambient
Availability:
Daily, 24 hour; STAT
Methodology:
Automated Cell Count and microscopic evaluation of Wright's stained cytocentrifuge preparation
Special Instructions:
Specify body fluid type
Lab/Phone:
330-543-8416
TAT:
1 hour
Additional Info:
Reference ranges available on patient report
CPT Code:
89051
Synonyms:
CSF Cell Count; Misc. Body Fluid Cell Count

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