Specimen Types:
Pleural fluid (Laterality must be documented Right or Left)
Peritoneal fluid (ascites)
Pericardial fluid
Synovial fluid
Containers:
Body fluid container with Heparin*
Pleural bag
Sterile cup, or an aliquot into sterile container if other tests are required and sharing specimen with cytology
Synovial fluid can be sent in capped and labeled syringe
*Heparin should be added to body cavity specimen to reduce clotting. Place three units of heparin per mL capacity of the collection container. Agitate the container to coat the sides with heparin. Add specimen to the heparinized container. Gently agitate to thoroughly mix the specimen with the heparin.
Preferred Draw Volume
Greater than 50 mL (5 - 500 mL)
Minimum Draw Volume
10 mL
Unacceptable Conditions
Clotted specimens
No source and laterality indicated
No patient identification
Frozen specimen
Collection Comments
Body fluids can be procured during thoracentesis, paracentesis, and pleural drains.
Cerner order: Type “ FLD “ under specimen type. Body fluid options will be available to choose in the drop -down menu.
Submitting personnel must verify source by writing on Cerner label and providing signature.
Storage/Transport Temperature
Refrigerated, NOT frozen
Stability (from collection to initiation)
One week from collection if refrigerated.
Special Handling
3 units of heparin added per mL of fluid to prevent clotting.
Ordering Recommendations
Body cavity fluids are commonly evaluated for the presence of malignant cells from metastatic disease.
**A cell block will be ordered by the cytology laboratory if deemed helpful to microscopic evaluation and diagnosis.
A pathology report will be rendered after microscopic review.
Clinical Interpretation
Additional testing may be deemed necessary to help with interpretation. The report will include any additional tests performed, such as immunostaining or special stain results.
CPT Codes
88112
Test Code (Outreach Synonym)
8901
Catalog Code
204788071
Collection
Collect
OR
Orderable is Cytology NonGYN
Specimen Types:
Pleural fluid (Laterality must be documented Right or Left)
Peritoneal fluid (ascites)
Pericardial fluid
Synovial fluid
Containers:
Body fluid container with Heparin*
Pleural bag
Sterile cup, or an aliquot into sterile container if other tests are required and sharing specimen with cytology
Synovial fluid can be sent in capped and labeled syringe
*Heparin should be added to body cavity specimen to reduce clotting. Place three units of heparin per mL capacity of the collection container. Agitate the container to coat the sides with heparin. Add specimen to the heparinized container. Gently agitate to thoroughly mix the specimen with the heparin.
Preferred Draw Volume
Greater than 50 mL (5 - 500 mL)
Minimum Draw Volume
10 mL
Unacceptable Conditions
Clotted specimens
No source and laterality indicated
No patient identification
Frozen specimen
Collection Comments
Body fluids can be procured during thoracentesis, paracentesis, and pleural drains.
Cerner order: Type “ FLD “ under specimen type. Body fluid options will be available to choose in the drop -down menu.
Submitting personnel must verify source by writing on Cerner label and providing signature.
Storage/Transport Temperature
Refrigerated, NOT frozen
Stability (from collection to initiation)
One week from collection if refrigerated.
Special Handling
3 units of heparin added per mL of fluid to prevent clotting.
Ordering
Ordering Recommendations
Body cavity fluids are commonly evaluated for the presence of malignant cells from metastatic disease.
**A cell block will be ordered by the cytology laboratory if deemed helpful to microscopic evaluation and diagnosis.
A pathology report will be rendered after microscopic review.
Clinical Interpretation
Additional testing may be deemed necessary to help with interpretation. The report will include any additional tests performed, such as immunostaining or special stain results.
OR 
