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View Medical Necessity Guide
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Cell Count, Bronchial Lavage Fluid
Last Modified:
10/5/2022 3:14:30 PM
Medical Necessity Documentation:
Client Notes:
Please contact PHL Client Response at 266-1500 (Option 2) to request a Stat courier pick up
Patient Preparation:
Specimen Requirements:
20.0 mL Bronchial Lavage Fluid in a
Lavender Top Tube -
EDTA
Collection Instructions:
Order must include the site and/or source of collection
Do not centrifuge specimen
Minimum Volume:
10.0 mL Broncial Lavage Fluid
Transport & Storage: Temperature/Stability:
24 hours Refrigerated
Reference Range:
No Reference Range Established
Critical Ranges:
Test Comments:
If TNC is = or > 5 cells/cumm a fluid differential will be reflexed and charged
If Lymphocyte on Fluid Differential = or > 15%, Flow Cytometry CD4:CD8 ratio test (FLHSR) will be reflexed and charged.
Methodology:
Microscopic Exam / Instrument Count
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
FCELL
EPIC Test Code:
LAB209
Included Tests:
Clarity; Color; Red Blood Cell Count (RBC); Total Nucleated Cell Count (TNC)
CPT Coding:
89050 (R 89051; 86360)
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