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Epic Code LAB293 Complete Blood Count (CBC) w/ Differential

Test Name Alias

CBC w/ Diff | CBCD | 8411 | CBC w/diff

Interface Order Alias

11308

Icons & Photos

Collection Instructions

Specimen Collection: Blood

 

Container(s): Lavender top (EDTA)

Preferred Volume to Collect: 3.0 mL

Minimum Volume to Collect: 0.5 mL

Neonate Volume to Collect: 0.5 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

 

Collection Instructions:

  • After collection, gently invert tube 8-10 times.
  • Specimen must be received within 8 hours of collection if ambient, 24 hours if refrigerated (see stability information below)

 

Processing Instructions (Laboratory, Outpatient or Off-site collection)

  • Processed Specimen: Whole Blood EDTA
  • Centrifuge/Spin: No
  • Aliquot: No
  • Transport Temperature: Refrigerate (preferred) or Ambient (acceptable)

Specimen Stability

Ambient: 8 hours

Refrigerate: (Preferred) 24 hours

Note: Cellular characteristics required for differential analysis become compromised in specimens greater than stated specimen stability due to degradation of cells

Laboratory Retention: 72 hours

United Laboratory Retention: 7 days

Reflex Information

Link: MEC Approved Reflex Testing 

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

Basophil Absolute Count 

0.00 – 0.20 ( x 103/uL)

 

Basophil Automated (%)

0.0 – 2.0 %

 

Eosinophil Absolute Count 

0.00 – 0.50  ( x 103/uL)

 

Eosinophil Automated (%)

0.0 – 6.0 %

 

Hematocrit (Hct)

0 Minutes up to 1 Month: 42.0 – 64.0 %
1 Month up to 3 Months: 38.0 – 56.0 %
3 Months up to 1 Year: 33.0 – 48.0 %
1 Year up to 3 Years: 32.0 – 44.0 %
3 Years up to 9 Years: 35.0 – 45.0 %
9 Years up to 13 Years: 37.0 – 47.0 %

Male

13 Years up to 150 Years: 42.0 – 52.0 %

Female

13 Years up to 150 Years: 37.0 – 47.0 %

 

Hemoglobin (Hgb)

0 Minutes up to 1 Month: 15.5 – 21.0 g/dL
1 Month up to 3 Months: 12.5 – 19.0 g/dL
3 Months up to 1 Year: 10.5 – 16.0 g/dL
1 Year up to 3 Years: 10.0 – 14.0 g/dL
3 Years up to 9 Years: 11.5 – 14.5 g/dL

Male

9 Years up to 13 Years: 12.5 – 16.0 g/dL
13 Years up to 150 Years: 14.0 – 18.0 g/dL

Female

9 Years up to 13 Years: 12.0 – 15.0 g/dL
13 Years up to 150 Years: 12.0 – 16.0 g/dL

 

Immature Granulocyte Absolute Count

0.00 to 0.05 x 103/uL 

 

Immature Granulocyte Automated (%)  

0.0 - 0.6 %

 

Lymphocyte Absolute Count

0 Minutes up to 1 Month: 2.50 – 10.00  ( x 103/uL)
1 Month up to 3 Years: 2.50 – 12.00  ( x 103/uL)
3 Years up to 9 Years: 1.80 – 8.00  ( x 103/uL)
9 Years up to 13 Years: 1.40 – 6.00  ( x 103/uL)
13 Years up to 150 Years: 1.00 – 4.00  ( x 103/uL)

 

Lymphocyte Automated (%)

0 Minutes up to 1 Month: 30.0 – 66.0 %
1 Month up to 3 Years: 42.0 – 75.0 %
3 Years up to 9 Years: 30.0 – 66.0 %
9 Years up to 13 Years: 25.0 – 50.0 %
13 Years up to 150 Years: 20.0 – 50.0 %

 

Mean Cell Hemoglobin (MCH)

0 Minutes up to 1 Month:  32.0– 41.0 pg

1 Month up to 3 Months:  30.0 – 38.0 pg

3 Months up to 1 Year:  27.0 – 35.0 pg

1 Year up to 3 Years:  23.0 – 30.0 pg

3 Years up to 9 Years:  25.0 – 32.0 pg

9 Years up to 150 Years:  27.0 – 33.0 pg

 

Mean Cell Hemoglobin Concentration (MCHC)

0 Minutes up to 1 Month:  35.0 – 38.0 g/dL

1 Month up to 3 Months:  34.0 – 37.0 g/dL

3 Months up to 1 Year:  33.0 – 37.0 g/dL

1 Year up to 150 Years:  32.0 – 37.0 g/dL

 

Mean Cell Volume (MCV)

0 Minutes up to 1 Month:  94.0 – 116.0 fL

1 Month up to 3 Months:  84.0 – 104.0 fL

3 Months up to 3 Years:  74.0 – 90.0 fL

3 Years up to 9 Years:  80.0 – 94.0 fL

9 Years up to 13 Years:  84.0 – 98.0 fL

13 Years up to 150 Years:  80.0 – 100.0 fL

 

Monocyte Absolute Count

0.00 - 0.90  ( x 103/uL)

 

Monocyte Automated (%)

2.0 - 12.0 %

 

Mean Platelet Volume (MPV)

7.4 - 11.0 fL

 

Neutrophil Absolute Count

0 Minutes up to 1 Month:  2.00 – 10.00  ( x 103/uL)

1 Month up to 13 Years:  1.50 – 6.00  ( x 103/uL)

13 Years up to 150 Years:  1.80 – 7.80  ( x 103/uL)

 

Neutrophil Automated (%)

0 Minutes up to 1 Month:  25.0 – 64.0 %

1 Month up to 3 Years:  19.0 – 45.0 %

3 Years up to 9 Years:  30.0 – 64.0 %

9 Years up to 13 Years:  35.0 – 70.0 %

13 Years up to 150 Years:  35.0 – 80.0 %

 

Nucleated Red Blood Cell (NRBC) Absolute Count

0.00 - 0.01 x 103/uL

 

Nucleated Red Blood Cell (NRBC) Automated ( %)

0.0 - 0.1%

 

Platelet

140 - 400  ( x 103/uL)

 

Red Blood Cell (RBC)

Male:

0 Minutes up to 1 Month:  4.60 – 6.20 (x 106/uL)

1 Month up to 3 Months:  4.40 – 5.80  (x 106/uL)

3 Months up to 13 Years:  4.20 – 5.20  (x 106/uL)

13 Years up to 150 Years:  4.60 – 6.00  (x 106/uL)

Female:

0 Minutes up to 1 Month:  4.60 – 6.20  (x 106/uL)

1 Month up to 3 Months:  4.40 – 5.80  (x 106/uL)

3 Months up to 13 Years:  4.20 – 5.20  (x 106/uL)

13 Years up to 150 Years:  4.20 – 5.40  (x 106/uL)

 

Red Cell Diameter Width (RDW)

11.0 - 16.0 %

 

White Blood Cell (WBC)

0 Minutes up to 1 Month:  6.00 – 20.00 (x 103/uL)

1 Month up to 3 Years:  6.00 – 18.00  (x 103/uL)

3 Years up to 9 Years:  5.00 – 15.00  (x 103/uL)

9 Years up to 13 Years:  4.50 – 12.00  (x 103/uL)

13 Years up to 150 Years:  4.00 – 10.80  (x 103/uL)

 

The pediatric data is summarized /compiled from the literature.

 

Laboratory Critical Values Table

Performing Department

HEMATOLOGY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Kelsey Laboratory, Lakeview, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health United Laboratory, Greenville, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Sysmex XN

Manual smear review: Microscopy (if indicated)

CPT

85025

85055- IPF Reflex

85027

85007-Reflex Differential

85060 (if clinical findings indicate)

CDM Code

4068410

Epic Test ID

1230101458

Beaker LOINC

BASOPHIL ABSOLUTE COUNT: 26444-0
BASOPHIL AUTOMATED: 706-2
COMPLETE: N/A
EOSINOPHIL ABSOLUTE COUNT: 711-2
EOSINOPHIL AUTOMATED: 713-8
HEMATOCRIT: 4544-3
HEMOGLOBIN: 718-7
IMM GRAN ABSOLUTE: 53115-2
IMM GRAN AUTO: 71695-1
LYMPHOCYTE ABSOLUTE COUNT: 731-0
LYMPHOCYTE AUTOMATED: 736-9
MANUAL DIFFERENTIAL Y/N: N/A
MEAN CELL HEMOGLOBIN CONCENTRATION: 786-4
MEAN CELL HEMOGLOBIN: 785-6
MEAN CELL VOLUME: 787-2
MEAN PLATELET VOLUME: 32623-1
MONOCYTE ABSOLUTE COUNT: 742-7
MONOCYTES, PERCENT: N/A
NEUTROPHIL ABSOLUTE COUNT: 751-8
NEUTROPHIL AUTOMATED: 770-8
NRBC ABSOLUTE: 771-6
NRBC PERCENT: 58413-6
PLATELET: 777-3
RED BLOOD CELL: 789-8
RED CELL DIAMETER WIDTH: 788-0
WHITE BLOOD CELL: 6690-2

Reviewed Date

2/20/2020

Beaker Names

Beaker Procedure Name: COMPLETE BLOOD COUNT (CBC) W/DIFFERENTIAL
Beaker Display Name: Complete Blood Count w/Differential
BEAKER TEST NAME: COMPLETE BLOOD COUNT WITH DIFF
BEAKER TEST REPORT NAME: COMPLETE BLOOD COUNT WITH DIFF

Beaker Synonyms

CBC W/ DIFF

Beaker Location, Container and Temperature

BW HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
BW HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
BL HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
BL HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
BR HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
BR HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
GM HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
GM HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
KL HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
KL HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
LH HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
LH HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
PH HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
PH HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
RC HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
RC HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
UN HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
UN HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated
ZH HEMATOLOGY: LAVENDER (EDTA) MICROTAINER (Preferred)-Refrigerated
ZH HEMATOLOGY: 3 ML LAV TUBE R (Acceptable)-Refrigerated