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Epic Code LAB815 Differential, Manual, Blood

Important Note

This cannot be ordered alone. This must be ordered with a CBC or added onto a CBC specimen already in lab.

Test Name Alias

Manual Differential. | 8175

Interface Order Alias

10515

Ordering Instructions

This cannot be ordered alone. This must be ordered with a CBC or added onto a CBC specimen already in lab.

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.

 

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

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

Rejection Criteria

  • Frozen specimens
  • Clotted specimens

Specimen Stability

Ambient: 8 hours 

Refrigerated (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: Reflex Testing Offered

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

Bands Manual
0 Minutes up to 1 Months: 7 – 16 %
1 Months up to 3 Years: 5 – 12 %
3 Years up to 13 Years: 3 – 11 %
13 Years up to 150 Years: 0 – 10 %

 

Basosphilis Manual
0 – 2 %

 

Eosinophils Manual
 0 – 6 %

 

Lymphocytes Manual
0 Minutes up to 1 Months: 30 – 66 %
1 Months up to 3 Years: 42 – 75 %
3 Years up to 9 Years: 30 – 66 %
9 Years up to 13 Years: 25 – 50 %
13 Years up to 150 Years: 20 – 50 %

 

Monocytes Manual
2 – 12 %

 

Segmented Neurtrophils Manual
0 Minutes up to 1 Months: 16 – 50 %
1 Months up to 3 Years: 13 – 35 %
3 Years up to 9 Years: 25 – 55 %
9 Years up to 13 Years: 30 – 62 %
13 Years up to 150 Years: 35 – 80 %

 

The pediatric data is summarized/complied from the literature.

Performing Department

HEMATOLOGY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory (SHRL), Grand Rapids, MI
Spectrum Health Big Rapids Laboratory (SHBR), Big Rapids, MI
Spectrum Health Blodgett Laboratory (BIRL), Grand Rapids, MI
Spectrum Health Gerber Laboratory (SHGH), Fremont, MI
Spectrum Health Kelsey Laboratory (SHKH), Lakeview, MI

Spectrum Health Pennock Laboratory (SHP), Hastings, MI
Spectrum Health Reed City Laboratory (SHRC), Reed City, MI
Spectrum Health United Laboratory (SHUH), Greenville, MI
Spectrum Health Zeeland Community Laboratory (SHZCH), Zeeland, MI

Methodology

Microscopy

CPT

85007

85060 (if clinical findings indicate)

CDM Code

Update in process

Epic Test ID

1230100917

Beaker LOINC

ABNORMAL LYMPHOCYTE MANUAL: 29261-5
ACANTHOCYTES: 7789-1
ANISOCYTOSIS: 702-1
AUER RODS: 11281-3
BANDS MANUAL: 26508-2
BASOPHILIC STIPPLING: 703-9
BASOPHILS MANUAL: 30180-4
BITE CELLS: N/A
BLASTS MANUAL: 26446-5
BLISTER CELLS: 10372-1
CLUMPED PLATELETS: 7796-6
DOHLE BODIES: 7792-5
ECHINOCYTES: 7790-9
ELLIPTOCYTES: 11274-8
EOSINOPHIL MANUAL: 26450-7
GIANT PLATELETS: N/A
HAIRY CELLS: 24106-7
HOWELL JOLLY BODIES: 7793-3
HYPERGRANULAR NEUTROPHILS: N/A
HYPERSEGMENTED NEUTROPHILS: 765-8
HYPOCHROMASIA: 728-6
HYPOGRANULAR NEUTROPHILS: 40654-6
IMMATURE CELLS MANUAL: N/A
LYMPHOCYTES MANUAL: 26478-8
LYMPHOMA CELLS: 34915-9
MACROCYTOSIS: 738-5
MEGAKARYOCYTES: 51644-3
METAMYELOCYTE MANUAL: 28541-1
MICROCYTOSIS: 741-9
MONOCYTES MANUAL, PERCENT: N/A
MYELOCYTE MANUAL: 26498-6
NUCLEATED RBC MANUAL: 19048-8
OVAL MACROCYTES: 10376-2
PAPPENHEIMER BODIES: N/A
PARASITES: N/A
PLASMA CELL: 13047-6
PLATELET ESTIMATE: 49497-1
POLYCHROMASIA: 10378-8
PROGRANULOCYTE MANUAL: 26524-9
PROLYMPHOCYTE MANUAL: 30465-9
RBC AGGLUTINATION: 50670-9
RBC MORPHOLOGY: 11273-0
REACTIVE LYMPHOCYTES MANUAL: 13046-8
ROULEAUX RBC: 7797-4
SCHISTOCYTE: 800-3
SEGMENTED NEUTROPHILS MANUAL: 26505-8
SICKLE CELL: 801-1
SPHEROCYTE: 802-9
STOMATOCYTES: 10380-4
TARGET CELL: 10381-2
TEAR CELL: N/A
VACUOLATED NEUTROPHILS: 18319-4

Reviewed Date

9/2/2021

Beaker Names

Beaker Procedure Name: DIFFERENTIAL, MANUAL BLOOD
Beaker Display Name: Manual Differential ADD ON
BEAKER TEST NAME: MANUAL DIFFERENTIAL
BEAKER TEST REPORT NAME: MANUAL DIFFERENTIAL

Beaker Synonyms

No synonym on file

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