Hematocrit, Micro

Last Modified: 3/27/2019 3:20:31 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: Must be submitted within 24 hours of collection
Minimum Volume: 1.5 mL
Transport & Storage: Temperature/Stability: 72 hours Refrigerated
Reference Range: < 15 days: 42% - 66%
Critical Ranges: NICU at PRMC & PVH Low Critical Limits: 
HCT: >15 days old <=30% and >=70%

NICU at PRMC & PVH High Critical Limits: 
HCT: >15 days old <=25% and >=70%


< 15 days: > 70.0%
Test Comments: This test is for newborns < 15 days only
Methodology: Spun Microhematocrit
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center, Parkview Warsaw
PHL Test Code: MHCT
EPIC Test Code: LAB2465
Alternate Test Names: Hematocrit Micro
Included Tests:  
CPT Coding: 85013

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