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Test Code CXN Xanthochromia, CSF

Additional Codes

LAB2673

Test Code: 1230100111

Specimen Required

Container Type:

Optimal:  4 white screw cap CSF collection vials

Acceptable: 

  • syringe
  • other sterile collection container
Optimal Collection Volume: 

6 mLs CSF divided between 4 CSF collection vials

Collection Instructions:

Label samples with a minimum of two (2) patient identifiers and indicate the order of collection on the individual tubes.

Processing Instructions: 

Send vials to lab as soon as possible at ambient temperature.

Useful For

Xanthochromia is present in more than 90% of patients within 12 hours of a subarachnoid hemorrhage. It is defined as the yellow, orange, or pink discoloration of the CSF, most often caused by the lysis of RBCs resulting in hemoglobin breakdown to oxyhemoglobin, methemoglobin, and bilirubin. Discoloration begins after RBCs have been in spinal fluid for about 2 hours, and remains for 2 to 4 weeks.

Method Name

Manual

Stability Information

Specimen Type Temperature Time
CSF Fluid Refrigerated 6 days
Ambient  12 hours
Frozen  Reject 

Rejection Due To

  • Frozen sample
  • Completely clotted specimen

 

Specimen Minimum Volume

Collecting minimum volumes can result in a need for sample recollection, and/or a delay in results. Minimum volumes are subjective and cannot account for all aspects of specimen and testing needs. Refer to the Specimen Required section for optimal volumes for laboratory specimens. Contact the Bronson Laboratory if complex collection exceptions occur that require more information.

 

Minimum Volume: 0.5 mL
Neonate Volume: 0.5 mL

Performing Laboratory

Bronson Laboratory, Hematology - Kalamazoo, Battle Creek, Paw Paw, South Haven

Day(s) Performed

24/7

CPT Code Information

83069

Sample Retention Time

6 Days