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Basophilspcarmanual

Published: August 9, 2026Updated: August 16, 2026

This test counts basophils (a type of white blood cell) in the fluid surrounding the heart to help diagnose conditions affecting the pericardium.

Quick summary

{"Basophils are white blood cells that help fight infection and respond to inflammation","Pericardial fluid is the fluid in the sac around your heart","This test helps doctors find infections, inflammation, or other heart sac problems","The test is done by examining fluid sample under a microscope","Abnormal results may indicate infection, cancer, or autoimmune conditions"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
68393-8
Short code
PER-BASO
Synonyms
Basophils # Pcar Manual
Category
chemistry
Sample
serum
Container
Sterile, heparinized or EDTA collection tube specifically designated for pericardial fluid analysis; lavender-top (EDTA) tube preferred for cell counts
Units
N/A
Ref low
0
Ref high
10
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
CPT
89051
SNOMED
442951000124104
Specimen volume
Minimum 1-2 mL of pericardial fluid; ideally 3-5 mL for complete cell count and differential analysis
Stability
Specimen should be analyzed within 1 hour of collection for optimal cell viability. If delayed, refrigerate at 2-8°C for up to 4 hours. Prolonged storage leads to cell lysis and inaccurate differential counts.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
1–4 hours
Order
routine

What is this test?

The basophil count in pericardial fluid test measures the number of basophils (a type of white blood cell) in the fluid that surrounds your heart. This fluid is called pericardial fluid. Basophils are part of your immune system and help your body fight infections and respond to allergic reactions.

Why is it done?

This test is performed when your doctor suspects a problem with the pericardium (the sac around your heart). It helps identify infections, inflammatory conditions, or abnormal cell growth in the pericardial space. Your doctor may order this test if you have symptoms like chest pain, fever, or difficulty breathing.

How is the sample collected?

A small sample of pericardial fluid is collected through a procedure called pericardiocentesis. During this procedure, a doctor inserts a thin needle through the chest wall into the pericardial sac to draw out fluid. The sample is then sent to a laboratory where it is examined under a microscope to count the basophils and other cells.

What do the results mean?

Normal pericardial fluid usually has very few or no basophils. High levels of basophils may indicate infection (such as tuberculosis), inflammation, or in rare cases, certain cancers. Your doctor will interpret the results along with other tests and your symptoms to make a diagnosis.

Reference range

Basophils are typically absent or present in very low numbers (<1% of nucleated cells) in normal pericardial fluid. Expected reference range is approximately 0-10 cells/µL; reference ranges vary by laboratory and should be interpreted in context of total nucleated cell count and clinical presentation.N/A

Specimen: serum

No patient preparation required prior to pericardial fluid collection. Pericardial fluid is obtained via pericardiocentesis performed by a qualified physician under sterile conditions, typically guided by echocardiography.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is this test painful?
The pericardiocentesis procedure may cause some discomfort, but local anesthesia is used to minimize pain. You may feel pressure or mild pain at the needle site during and after the procedure.
How long does it take to get results?
Results are typically available within 1-3 days, depending on the laboratory. Your doctor will contact you with the results and discuss what they mean for your health.
Are there any risks from this test?
Risks of pericardiocentesis include bleeding, infection, puncturing the heart or lungs, and irregular heartbeats. These complications are rare, and your doctor will monitor you closely during and after the procedure.
Do I need to prepare for this test?
Your doctor will give you specific instructions. You may need to fast for several hours before the procedure. Tell your doctor about all medications you are taking, as some may need to be paused.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy