Parkview Health Laboratory: Test Directory

Medicare Medical Necessity Restrictions May Apply

Medical Necessity Documentation:

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

Specimens must not be clotted and cannot contain microclots. Overfilling or underfilling may allow blood to clot. Specimens may be rejected due to WBC deterioration resulting from improper storage or age of specimen

For slide preparation see Addendum D

Minimum Volume: 1.5 mL (Microtainer: no less than .3 no more .5)

Neonatal Volume: 0.3 mL Whole Blood Lavender Microtainer

Transport & Storage: Temperature/Stability:

24 hours Ambient
72 hours Refrigerated

Reference Range:

Males > 14 Yrs: 150.0 - 450.0 th/ul
Females > 14 Yrs: 150.0 - 450.0 th/ul

Critical Ranges:

Pediatric (< = 15 days old) Low Critical Limits:  < = 30.0 t/ul

Pediatric (< = 15 days old) High Critical Limits: > = 850 t/ul

Low Critical Limits:  < = 30 t/ul

High Critical Limits: > = 850 t/ul

Low NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): <= 100,000 t/ul

Low ONC (Patients in a Parkview Health Oncology Unit): <= 20 t/ul

High NICU (Infants in a Parkview Health Neonatal Intensive Care Unit):   >=600,000 t/ul

Test Comments:

Methodology: Blood Cell Analyzer

Clinical Significance:

Documentation:

Custom Panel: No

Stat Eligible: Yes

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday

Sites Performed: Parkview Cancer Institute, Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Southwest , Parkview Wabash Hospital, Parkview Warsaw , Parkview Whitley Hospital

PHL Test Code: PLT

EPIC Test Code: LAB301

Alternate Test Names: PLT

Included Tests:

CPT Coding: 85049

Parkview Laboratory: Test Directory

Platelet Count

PRODUCTION SCHEDULE