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HelpTest Code CCBF Cell Count and Differential, Body Fluid
Ordering Guidance
For spinal fluid specimens, order CCCF / Cell Count and Differential, Spinal Fluid.
For bronchoalveolar lavage specimens, order LAV / Cell Count and Differential, Bronchoalveolar Lavage.
Shipping Instructions
Specimen must arrive within 24 hours of collection.
Necessary Information
Indicate specimen source
Specimen Required
For Local Accounts Only
Sources: Synovial, pleural, peritoneal, pericardial
Container/Tube:
Preferred: Body fluid container
Acceptable: Tube containing EDTA or heparin
Specimen Volume: 1 mL
Useful For
Aiding in the diagnosis of joint disease, systemic disease, inflammation, malignancy, infection, and trauma, using body fluid specimens
Profile Information
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| CCBF_ | Cell Count and Differential, BF | No | Yes |
| CRSF | Morphologic Review, BF | No | Yes |
Testing Algorithm
When abnormal cytologic features are present, the laboratory may reflex to a miscellaneous cytology test. Fee codes for that test vary depending on the review process.
Method Name
CCBF, CCBF_, CRSF: Automated or Manual Cell Count/Cytocentrifugation followed by Manual Differential and Morphology Review
CYTNG: Light Microscopy
Reporting Name
Cell Count and Differential, BFSpecimen Type
Body FluidSpecimen Minimum Volume
0.7 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Body Fluid | Ambient (preferred) | 24 hours | |
| Refrigerated | 24 hours |
Reject Due To
| Gross hemolysis | OK |
| Clotted Nasal fluid, sputum, amniotic fluid | Reject |
Reference Values
TOTAL NUCLEATED CELLS
Synovial fluid: <150/mcL
Peritoneal/pleural/pericardial fluid: <500/mcL
NEUTROPHILS
Synovial fluid: <25%
Peritoneal/pleural/pericardial fluid: <25%
LYMPHOCYTES
Synovial fluid: <75%
MONOCYTES/MACROPHAGES
Synovial fluid: ≤70%
Performing Laboratory
MCHS- MankatoTest Classification
This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
89051-Cell count with differential count
88184-if applicable
88185-if applicable
88187-if applicable
88188-if applicable
88189-if applicable
88104-if applicable
88108-if applicable
88112-if applicable
88161-if applicable
88162-if applicable
88305-if applicable
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| CCBF | Cell Count and Differential, BF | 34557-9 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| FLD2 | Fluid Type | 14725-6 |
| OTH11 | Other Cells Are: | 75353-3 |
| CMT81 | Comment | 48767-8 |
| APP2 | Gross Appearance | 9335-1 |
| TOT12 | Total Nucleated Cells | 74689-1 |
| REV81 | Reviewed by: | 18771-6 |
| RBC1 | Erythrocytes | 26455-6 |
| CMT37 | Comment | 48767-8 |
| NE_BF | Neutrophils | 26513-2 |
| LY_BF | Lymphocytes | 11031-2 |
| MM_BF | Monocytes/Macrophages | 30437-8 |
| EO_BF | Eosinophils | 26452-3 |
| BA_BF | Basophils | 28543-7 |
| OTH1 | Other Cells | 75353-3 |
| CMT3 | Diff Comments | 59466-3 |
| DCCBF | Download CCBF | No LOINC Needed |
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| LCMS | Leukemia/Lymphoma, Phenotype | Yes | No |
| CYTNG | Cytology Non-GYN | Yes | No |
Day(s) Performed
Monday through Sunday