Epic Code LAB196 Protein, Body Fluid
Test Name Alias
Protein Body Fluid | BFL | 8264
Interface Order Alias
10458
Ordering Instructions
Ascites, Elbow (Left or Right), Hip (Left or Right), Joint (Ankle, Elbow, Finger, Hip, Knee, Other, Shoulder, Toe, Wrist), Knee (Left or Right), Pericardial, Peritoneal, Pleural Cavity (Left or Right), Shoulder (Left or Right), Synovium/Bursa, or Wrist (Left or Right) will be performed at Corewell Health Reference Laboratory West.
If your source does not match the above, please order a Reference Miscellaneous Test and list the desired test and specimen source and type.
Collection Instructions
Specimen Collection: Body Fluid
Container(s): Clear top tube, no additive
Preferred Volume to Collect: Full tube
Minimum Volume to Collect: 0.5 mL
Collection Instructions:
- Indicate source.
- Ascites, Elbow (Left or Right), Hip (Left or Right), Joint (Ankle, Elbow, Finger, Hip, Knee, Other, Shoulder, Toe, Wrist), Knee (Left or Right), Pericardial, Peritoneal, Pleural Cavity (Left or Right), Shoulder (Left or Right), Synovium/Bursa, or Wrist (Left or Right) will be performed at Corewell Health Reference Laboratory West.
- If your source does not match the above, please order a Reference Miscellaneous Test and list the desired test and specimen source and type.
Processing Instructions (Laboratory, Outpatient or Off-site collection)
Transport Temperature: Refrigerate
Specimen Stability
Ambient: 8 hours
Refrigerate: 72 hours
Frozen: aliquot for longer storage
Laboratory Retention: 4 days
Test Frequency
Available daily, usual TAT 1 day.
Reference Range
Reference range not established for body fluids.
Pericardial protein: "Biochemical analysis of pericardial fluid (pH, total protein, glucose, LD) is of limited clinical value in most cases. Light's criteria, originally established for pleural effusions, have been shown to classify nearly all pericardial fluids as exudates regardless of etiology. (Am J Cardiol. 2007;99(9):1294; Heart. 2020;106(7):541.)
Pleural protein: "Pleural fluid TP/serum TP ratio of greater than 0.5 or pleural fluid total protein level greater than 3.0 g/dL is consistent with exudate. Pleural fluid TP/serum TP ratio of less than or equal to 0.5 or pleural fluid total protein level less than or equal to 3.0 g/dL is consistent with transudate. Using total protein alone misclassifies exudates and transudates in about 30% of cases. Sensitivity and specificity increase to 98% and 80%, respectively, when using both total protein and LD criteria.
Peritoneal protein: "Transudates: < 3.0 g/dL Exudates: => 3.0 g/dL The Serum-Ascites Albumin Gradient has been proposed as the more effective test in the differential diagnosis of ascites.
This test was developed and its performance characteristics determined by Corewell Health Laboratories. It has not been cleared or approved by the FDA. This test is used for clinical purposes. It should not be regarded as investigational or for research. The reference range and other method performance specifications have not been established for this body fluid. The test result must be integrated into the clinical context for interpretation.”
Performing Department
Chemistry
Performing Department Laboratory Location
Corewell Health Reference Laboratory, Grand Rapids, MI
Methodology
Colorimetric – Biuret
CPT
84157
CDM Code
3018415701
Epic Test ID
1230101080
LOINC
Specimen Type: 66746-9
Protein BFL: 2881-1
Mayo Access Code
SHO10458
Reviewed Date
3/7/2024
Updated Date
3/18/2024 - Reference Range
5/20/2024 - Collection Container updated from Mint or Red to Clear