Cell Count & Differential, BAL

General Information

Lab Name

Cell Count and Diff, BAL

Lab Code

BALCTG

Epic Name

Cell Count and Differential, BAL

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
BALCT Cell Count and Diff, BAL
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?
BALHLD BALTCS HOLD

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 are acceptable within 24 hours of collection, but optimal results are achieved if the sample is sent to lab within 3 hours of collection.

  • If sample transport will be more than 3 hours from the time of collection, the sample should be placed on wet ice.

Outside Laboratories: Refrigerate sample while awaiting shipment. Transport with a cold pack. Do not freeze samples.

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

Performing Location(s)

HMC Hematology
206-520-4600

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420

UW-NW Main Lab
206-668-1344

UW Medical Center – Northwest
1550 N 115th Street, A200
Seattle, WA 98133

UW-MT Hematology
206-520-4600

Clinical Lab, Room NW220,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Frequency

Daily

Available STAT?

Yes

Billing & Coding

CPT codes

88108, 89051

LOINC

18768-2

Interfaced Order Code

UOW5514