Last Modified:
6/14/2019 12:44:53 PM
Medical Necessity Documentation:
Client Notes:
Please contact PHL Client Reponse at 266-1500 (Option 2) to request a Stat courier pick up
Patient Preparation:
Specimen Requirements:
1.0 mL Fluid in a Clear Red Top Tube - No Clot Activator
and
3.0 mL Fluid in a Lavender Top Tube - EDTA
Collection Instructions:
Order must include the site and/or source of collection
Do not centrifuge specimen
If Fluid culture is also being ordered please submit in Clear Red Top Tube only and specify order of importance
Minimum Volume:
1.0 mL Fluid
Transport & Storage: Temperature/Stability:
24 hours Refrigerated
Reference Range:
Cell Count: Reference Range Not Established
Crystals: No Crystals Seen
Critical Ranges:
Test Comments:
If WBC is = or > 5 cells/cumm, a fluid differential will be reflexed and charged
Methodology:
Instrument Count / Microscopic Exam
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
FLSYN
EPIC Test Code:
LAB3045
Included Tests:
Cell Count: Crystals, Fluid;
CPT Coding:
89050 (Reflex 89051); 89060
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