Test Id : CRSBF
Crystal Identification, Body Fluid
Useful For
Suggests clinical disorders or settings where the test may be helpful
Identifying the presence and type of crystals in body fluid
Method Name
A short description of the method used to perform the test
Compensated Polarized Light Microscopy
NY State Available
Indicates the status of NY State approval and if the test is orderable for NY State clients.
Reporting Name
Lists a shorter or abbreviated version of the Published Name for a test
Aliases
Lists additional common names for a test, as an aid in searching
Calcium Pyrophosphate Crystals
Calcium Pyrophosphate Dihydrate (CPPD)
Cholesterol Crystals
CPPD (Calcium Pyrophosphate Dihydrate)
Crystal Identification, Synovial Fluid
Gout (Urates)
Monosodium Urates (MSU)
Pseudogout (Calcium Pyrophosphate Crystals)
Pseudogout Crystals
Pyrophosphate Crystals
Synovial Fluid, Crystal Identification
Urate Crystals
Specimen Type
Describes the specimen type validated for testing
Body Fluid
ORDER QUESTIONS AND ANSWERS
| Question ID | Description | Answers |
|---|---|---|
| CRYFT | Fluid Type |
Specimen Required
Defines the optimal specimen required to perform the test and the preferred volume to complete testing
Specimen Required
Specimen Type: Synovial Fluid, Prosthetic Joint Fluid
Container/Tube: Lavender top (EDTA)
Acceptable: Green top (heparin)
Specimen Volume: 2 mL
Specimen Type: Bile Fluid
Container/Tube: Red top
Specimen Volume: 2 mL
Specimen Type: Bronchoalveolar Lavage (BAL)
Container/Tube: Body fluid container
Specimen Volume: 2 mL
Specimen Type: Pleural Fluid, Peritoneal Fluid, Pericardial fluid
Container/Tube:
Preferred: Body fluid container
Acceptable: Lavender top (EDTA) or Green top (heparin)
Specimen Volume: 2 mL
Specimen Minimum Volume
Defines the amount of sample necessary to provide a clinically relevant result as determined by the testing laboratory. The minimum volume is sufficient for one attempt at testing.
0.5 mL
Reject Due To
Identifies specimen types and conditions that may cause the specimen to be rejected
Specimen Stability Information
Provides a description of the temperatures required to transport a specimen to the performing laboratory, alternate acceptable temperatures are also included
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Body Fluid | Refrigerated (preferred) | ||
| Ambient | 24 hours | ||
| Frozen | |||
Useful For
Suggests clinical disorders or settings where the test may be helpful
Identifying the presence and type of crystals in body fluid
Clinical Information
Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test
Birefringent crystals are found in the synovial fluid of more than 90% of patients with acutely inflamed joints.
Monosodium urate crystals are seen in gouty fluids and calcium pyrophosphate crystals are seen in chondrocalcinosis. The urates are usually needle-shaped, and the calcium crystals are often rhomboidal. Cholesterol crystals may also be observed.
Reference Values
Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.
None seen
If present, crystals are identified.
Interpretation
Provides information to assist in interpretation of the test results
Positive identification of crystals provides a definitive diagnosis for joint disease.
Cautions
Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances
Powdered anticoagulants such as oxalate are themselves crystalline or may cause crystals to form; their use may cause false-positive results or mask the presence of synovial fluid crystals definitive for the disease.
Clinical Reference
Recommendations for in-depth reading of a clinical nature
Hussong JW, Kjeldsberg CR, eds: Kjeldsberg's Body Fluid Analysis. ASCP Press; 2015
Method Description
Describes how the test is performed and provides a method-specific reference
The specimen is examined with a polarizing microscope with and without a first-order red compensator. Cholesterol crystals appear as bright, square or rectangular plates. Pyrophosphate crystals, rhomboidal, are weakly birefringent. Urate crystals are mainly needle-shaped and strongly doubly refractile; they may be found within leukocytes.(Hussong JW, Sorensen E, Perkins SL, et al: Laboratory methods. In: Hussong JW, Kjeldsberg CR, eds. Kjeldsberg's Body Fluid Analysis. ASCP; 2015:chap 2)
PDF Report
Indicates whether the report includes an additional document with charts, images or other enriched information
Day(s) Performed
Outlines the days the test is performed. This field reflects the day that the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time before the test is performed. Some tests are listed as continuously performed, which means that assays are performed multiple times during the day.
Monday through Sunday
Report Available
The interval of time (receipt of sample at Mayo Clinic Laboratories to results available) taking into account standard setup days and weekends. The first day is the time that it typically takes for a result to be available. The last day is the time it might take, accounting for any necessary repeated testing.
Specimen Retention Time
Outlines the length of time after testing that a specimen is kept in the laboratory before it is discarded
Performing Laboratory Location
Indicates the location of the laboratory that performs the test
Fees :
Several factors determine the fee charged to perform a test. Contact your U.S. or International Regional Manager for information about establishing a fee schedule or to learn more about resources to optimize test selection.
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- Clients without access to Test Prices can contact Customer Service 24 hours a day, seven days a week.
- Prospective clients should contact their account representative. For assistance, contact Customer Service.
Test Classification
Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR) product.
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.
CPT Code Information
Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Clinic Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.
CPT codes are provided by the performing laboratory.
CPT codes are provided by the performing laboratory.
89060
LOINC® Information
Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the order and results codes of this test. LOINC values are provided by the performing laboratory.
| Test Id | Test Order Name | Order LOINC Value |
|---|---|---|
| CRSBF | Crystal ID, BF | 6825-4 |
| Result Id | Test Result Name |
Result LOINC Value
Applies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
|
|---|---|---|
| CRYFT | Fluid Type | 14725-6 |
| CRYID | Crystal ID | 6825-4 |
| CRYCM | Comment | 77202-0 |