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Test Code BALCC BAL COUNT W/DIFFERENTIAL

Additional Codes

 Test ID

BALCC

EPIC Test ID

LAB2306

Performing Laboratory

St. Luke's Hospital Cedar Rapids

Specimen Requirements

Container/Tube:

Preferred: 1mL bronchoalveolar lavage in EDTA (Lavender Tube).

Minimum Volume: 0.5 mL bronchoalveolar lavage in EDTA

Stability: Mix specimen well by inversion. Cell count should be performed promptly.

Reference Values

No established reference values

Day(s) Test Set Up

Monday through Sunday

Report Available

2 hours upon receipt.

Useful For

Bronchoalveolar Lavage Fluid (BAL):  A bronchoscopic procedure to retrieve cells and soluble substances from the lining fluid of the distal airways and alveolar units, containing immunologic components of the lung’s epithelia surface.  The bronchoscopic technique reveals specific information in disorders, such as pulmonary alveolar proteinosis, Langerhans cell histiocytosis, alveolar hemorrhage, or dust exposure.  Differential of cells contained in BAL, as well as subtyping of lymphocytes, has gained special importance for differential diagnosis and analysis of activity status of interstitial lung disease.

Methodology

Manual Enumeration Using Hemocytometer/Microscope or Automated Analyzer for Cell Count

Differentiation of WBC is done Microscopically.

Test Classification and CPT Coding

89051