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Bone Marrow Aspirate Smear Int

Test ID:

702090

CPT code:

85097

Synonyms:

Bone Marrow Aspiration and Biopsy

Bone Marrow Aspirate

Iron Stain, Bone Marrow

Clinical Use:

Evaluate bone marrow morphology, erythropoiesis, myelopoiesis, myeloid:erythroid ratio, megakaryocytes, cellularity, and marrow iron stores; evaluate etiology of abnormalities of production of RBC, WBC, or platelets; establish the presence of various primary or secondary malignancies: myeloma, carcinoma, lymphoproliferative diseases, or myeloproliferative diseases; evaluate respiratory therapy of hematologic disorders

Additional Test Information:

Marrow culture can make valuable contribution to study of fever of undetermined origin and possible systemic infection, in particular, histoplasmosis and tuberculosis.

Specimen Type:

Bone marrow aspirate clot and/or biopsy, bone marrow aspirate smears, and peripheral blood smears

Requested Volume:

5 mL, at least 1 cm core of bone marrow (complete specimen), bilateral if for staging of lymphoma

Minimum olume:

2 mL

Collection:

Smeared slides are prepared and labeled at the bedside by a laboratory technologist. Biopsy and clot are placed in fixative by technologist. Bone marrow smears for enzyme histochemistry must be fixed immediately in 10% neutral buffered formalin, absolute methyl alcohol, or 40% formalin vapor. Fixative container must be labeled with patient’s full name, room number, date, and time and the fixative employed.