Test Details
Result Turnaround Time
2 - 4 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Test Includes
H and E stain; iron stain; Wright stain
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
Special Instructions
Must include clinical/laboratory information, clinical hematological diagnosis, and a recent CBC or peripheral blood in EDTA.
Custom Additional Information
Marrow culture can make valuable contribution to study of fever of undetermined origin and possible systemic infection, in particular, histoplasmosis and tuberculosis.
Specimen Requirements
Specimen
Bone marrow aspirate clot and/or biopsy, bone marrow aspirate smears, and peripheral blood smears
Volume
2 to 5 mL, at least 1 cm core of bone marrow (complete specimen), bilateral if for staging of lymphoma
Collection Instructions
Unfixed and air-dried smeared slides are prepared and labeled at the bedside by a laboratory technologist. Unfixed and air-dried touch-preparation slides are prepared from the biopsy before fixation of the biopsy specimen. Biopsy and clot are placed in fixative by technologist. Fixative container must be labeled with patient's full name, room number, date and time and the fixative employed.
Causes for Rejection
No marrow obtained
LOINC® Map
| Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
|---|---|---|---|---|---|---|
| 489900 | Bone Marrow Tracking | 490001 | Peripheral Blood | N/A | ||
| 489900 | Bone Marrow Tracking | 490002 | Bone Marrow | N/A | ||
| 489900 | Bone Marrow Tracking | 490004 | Comment: | 77202-0 | ||
| 489900 | Bone Marrow Tracking | 490005 | Clinical Information | N/A | ||
| 489900 | Bone Marrow Tracking | 490006 | Gross Description | 22634-0 | ||
| 489900 | Bone Marrow Tracking | 490007 | Peripheral Blood (Detail) | N/A | ||
| 489900 | Bone Marrow Tracking | 490008 | Differential | N/A | ||
| 489900 | Bone Marrow Tracking | 490009 | Bone Marrow Biopsy | 51628-6 | ||
| 489900 | Bone Marrow Tracking | 490010 | Clot Section | N/A | ||
| 489900 | Bone Marrow Tracking | 490013 | Marrow Smears | 51628-6 | ||
| 489900 | Bone Marrow Tracking | 490014 | Iron Stains | 38519-5 | ||
| 489900 | Bone Marrow Tracking | 490015 | Reticulin Stain | 10804-3 | ||
| 489900 | Bone Marrow Tracking | 490016 | Immunostains | 55229-9 | ||
| 489900 | Bone Marrow Tracking | 490017 | Special Stains | N/A | ||
| 489900 | Bone Marrow Tracking | 490018 | Addendum | 35265-8 | ||
| 489900 | Bone Marrow Tracking | 490019 | Resulting Path Name | 19139-5 | ||
| 489900 | Bone Marrow Tracking | 490020 | Clinician provided ICD9: | 52797-8 | ||
| 489900 | Bone Marrow Tracking | 490021 | Resulting ICD9: | 52797-8 | ||
| 489900 | Bone Marrow Tracking | 490022 | Indications for Study | 42349-1 | ||
| 489900 | Bone Marrow Tracking | 490023 | CPT Codes | N/A | ||
| 489900 | Bone Marrow Tracking | 489475 | 11502-2 | |||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490001 | |||||
| Result Code Name | Peripheral Blood | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490002 | |||||
| Result Code Name | Bone Marrow | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490004 | |||||
| Result Code Name | Comment: | |||||
| UofM | ||||||
| Result LOINC | 77202-0 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490005 | |||||
| Result Code Name | Clinical Information | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490006 | |||||
| Result Code Name | Gross Description | |||||
| UofM | ||||||
| Result LOINC | 22634-0 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490007 | |||||
| Result Code Name | Peripheral Blood (Detail) | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490008 | |||||
| Result Code Name | Differential | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490009 | |||||
| Result Code Name | Bone Marrow Biopsy | |||||
| UofM | ||||||
| Result LOINC | 51628-6 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490010 | |||||
| Result Code Name | Clot Section | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490013 | |||||
| Result Code Name | Marrow Smears | |||||
| UofM | ||||||
| Result LOINC | 51628-6 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490014 | |||||
| Result Code Name | Iron Stains | |||||
| UofM | ||||||
| Result LOINC | 38519-5 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490015 | |||||
| Result Code Name | Reticulin Stain | |||||
| UofM | ||||||
| Result LOINC | 10804-3 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490016 | |||||
| Result Code Name | Immunostains | |||||
| UofM | ||||||
| Result LOINC | 55229-9 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490017 | |||||
| Result Code Name | Special Stains | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490018 | |||||
| Result Code Name | Addendum | |||||
| UofM | ||||||
| Result LOINC | 35265-8 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490019 | |||||
| Result Code Name | Resulting Path Name | |||||
| UofM | ||||||
| Result LOINC | 19139-5 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490020 | |||||
| Result Code Name | Clinician provided ICD9: | |||||
| UofM | ||||||
| Result LOINC | 52797-8 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490021 | |||||
| Result Code Name | Resulting ICD9: | |||||
| UofM | ||||||
| Result LOINC | 52797-8 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490022 | |||||
| Result Code Name | Indications for Study | |||||
| UofM | ||||||
| Result LOINC | 42349-1 | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 490023 | |||||
| Result Code Name | CPT Codes | |||||
| UofM | ||||||
| Result LOINC | N/A | |||||
| Order Code | 489900 | |||||
| Order Code Name | Bone Marrow Tracking | |||||
| Order Loinc | ||||||
| Result Code | 489475 | |||||
| Result Code Name | ||||||
| UofM | ||||||
| Result LOINC | 11502-2 |