Last Modified:
5/20/2020 2:42:27 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
2.0 mL CSF Fluid in CSF Collection tube
Collection Instructions:
Physician to obtained via lumbar puncture
Always specify order of importance of CSF tests when multiple tests ordered
Note on specimen and order if specimen is from Shunt Fluid
Transport & Storage: Temperature/Stability:
Cell Count:
30 minutes Ambient
30 minutes Refrigerated
Glucose & Protein - 3 days Refrigerated
4 hours on cells
Reference Range:
RBC: 0 /uL
WBC: 0 - 5 /uL
Glucose: 40 - 70 mg/dL
Protein: 15 - 45 mg/dL
Critical Ranges:
Any microorganism present on smear
Test Comments:
If > or = 5 WBC in the Cell Count a differntial will be reflexed and charged
Due to interferences associated with PHL methodology, CSF protein measurements may not be accurate if intrathecal or intraventricular aminoglycosides have been administered; or aminoglycosides have been administered under conditions that may result in the breakdown of the blood-brain barrier.
Methodology:
Multiple - Based on Individual Components
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code:
CF
EPIC Test Code:
LAB2286
Alternate Test Names:
CSF Profile; CSF Routine
Included Tests:
Cell Count [Clarity; Color; Red Blood Cell Count (RBC); White Blood Cell Count (WBC)]; Glucose CSF; Protein CSF
CPT Coding:
82784, 82945, 84157, 89050
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