Hemoglobin

Last Modified: 3/27/2019 3:22:20 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions: Mix tube by inversion 5 times
Do not centrifuge
If submitting a specimen that is greater than 24 hours, please also submit a slide for the differential
Specimens must not be clotted. Overfilling or underfilling may allow blood to clot.
Minimum Volume: 1.5 mL
Transport & Storage: Temperature/Stability: 72 hour Refrigerated

Specimens may be rejected due to blood changes or deterioration
Reference Range:
Pediatric
0 days to 15 days: 15.4 - 22.0 g/dL
16 days to 1 month: 13.4 - 18.0 g/dL
1 month to 2 months: 10.5 - 17.0 g/dL
2 months to 4 months: 9.4 - 13.0 g/dL
4 months to 6 months: 10.0 - 14.0 g/dL
6 months to 1 year: 10.5 - 14.0 g/dL
1 year to 6 years: 11.0 - 14.0 g/dL
6 years to 14 years: 12.0 - 15.5 g/dL

Males > 14 Yrs: 13.5 - 17.2 g/dL

Females > 14 Yrs: 12.0 - 15.5 g/dL
Critical Ranges:
Pediatric (< = 15 days old) Low Critical Limits
Hgb: < = 10.0 G/DL

Pediatric (< = 15 days old) High Critical Limits
Hgb: > = 24.0 G/DL

Low Critical Limit:
Hgb: < = 6.0 G/DL

High Critical Limit: Hgb: > = 19.0 G/DL

Oncology Wards at PRMC Low Critical Limit: <= 5.0 G/dL

OHP Low Critical Limit: <= 7.0 G/dL
Test Comments:  
Methodology: Blood Cell Analyzer
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Cancer Institute, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: HGB
EPIC Test Code: LAB291
Alternate Test Names: HGB
Included Tests:  
CPT Coding: 85018

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