Test Code B.M. Bone Marrow Differential
Synonyms/Keywords
Bone Marrow Biopsy, Aspirate
Specimen Requirements
| Fasting Required | Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|---|
| No | Bone Marrow Aspirate | 10 aspirate smears and 4 touch prep smear | 5-6 aspirate smears and 2 touch prep smear |
Collection/Processing Instructions
Marshfield - CallLab-24 Hour Services(ext.16383) to notify department that a Bone Marrow is requested. Provide department with patient information and test requests to include Flow Cytometry, Cytogenetics and miscellaneous testing. Technologist prepares approximately 10 bone marrow aspirate smears and 4 touch prep smears, collects for other testing and places the aspirate clot and biopsy/core specimens in 10% buffered formalin fixative.
Other Facilities - CallLab-24 Hour Servicesat 800-222-5835 (ext. 16383) when sending a bone marrow specimen. Department will take information for Flow Cytometry and Cytogenetics, if applicable.
Submit:
1) At least 4 bone marrow aspirate smears and 2 touch prep smears in a slide holder.
2) A peripheral EDTA blood smear and results of a recent Hemogram (CBC) and differential.
3) Clot and core specimens in 10 mL of 10% buffered formalin fixative. Parafilm containers and place containers in a biohazard bag - Keep fixative vials separate from smears as fixative fumes can damage smears.
4) A completed Bone Marrow Report form (or requisition form) for the bone marrow studies and a completed Histology Test Requisition form for the clot and core specimens. Provide patient information, diagnosis, specimen/collection information and test(s) requested.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Bone Marrow Smear | Ambient | 4 Weeks |
Rejection Criteria
Check with performing department prior to rejection. Samples may be reported with additional comments up to 24 hours.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Marshfield | Interpretive Report |
Marshfield Labs Performing Department
Marshfield Labs Hematology
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Marshfield | Monday through Friday | 3 days | Histochemical Stains/Manual Light Microscopy |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 85097 | Interp | |||
| 88313 | Stain, Group ll | |||
| 88305 | Cell block |
|
||
| 85060 | Differential |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 85097 | Interp | |||
| 88313 | Stain, Group ll | |||
| 88305 | Cell block |
|
||
| 85060 | Differential |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Powerplan should be used: Pathology Bone Marrow Adult Specimen Collection Pathology Bone Marrow Pediatric Specimen Collection |
| 4medica | B.M. |