Cell Count & Differential, BAL

General Information

Lab Name

Cell Count and Diff, BAL

Lab Code

BALCT

Description

Indicate if order of T-Cell Subtyping should be performed when BAL Lymphocytes are >10%. Result Yes/No to question at request entry. If YES and BAL Lymphocytes are >10%, then T Cell Subsets, BAL [BALTCS] will be ordered with an additional charge.

Components

Code Name
BALDES BAL Gross Appearance
BALVOL BAL Volume
BLRBC BAL RBC
BLNUCC BAL Nucleated Cells
ANCFL Absolute Neutrophil Count, Fluid
BALNEU BAL Neutrophils
BALLYM BAL Lymphocytes
BALMAC BAL Macrophages
BALEOS BAL Eosinophils
BALBAS BAL Basophils
BALEPC BAL Epithelial Cells
BALOTH BAL Other
BDFCNT No. BAL Cells Counted for Diff
BALCM1 BAL Comment 1
BALCOM BAL Comment
BALT Reflex T cells if Indicated?

Interpretation

Method

Cell Counts are automated or manual, Differential is manual.

Reference Range

See individual components

Ordering & Collection

Specimen Type

BAL, Bronchoalveolar Lavage

Collection

BRONCHO-ALVEOLAR LAVAGE FLUID

Handling Instructions

Samples acceptable up to 24 hours of collection but optimal results achieved if sample sent to lab within 3 hours of collection on ice.Samples submitted after 24 hours will be evaluated for quality using appropriate internal controls and the results qualified appropriately.

Quantity

requested: 7-10 mL BAL
minimum: 1 mL BAL (We will accept a 1 mL sample but a minimum of 5 mL is recommended for diagnostic accuracy)

Processing

Login and forward sample to Hematology. HMC Instructions: SPS staff will login requests from 11:30 pm-07:00 am. Refer to SPS processing instructions on WIKI for more details. Page Chemistry float tech to notify. Micro will log ALL other times and send sample to Hematology for testing.

Performance

LIS Dept Code

Hematology (H)

Performing Location(s)

Frequency

Available STAT?

Yes

Billing & Coding

CPT codes

LOINC

18768-2