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

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: 24 hours Ambient
72 hours Refrigerated

Specimens may be rejected due to blood changes or deterioration

Reference Range:

Pediatric:
0 days to 1 month: 42.0 - 66.0%
1 month to 2 months: 33.0 - 55.0%
2 months to 4 months: 28.0 - 42.0%
4 months to 6 months: 32.0 - 44.0%
6 months to 1 year: 31.0 - 41.0%
1 year to 6 years: 33.0 - 41.0%
6 years to 14 years: 34.5 - 43.00%

Males: > 14 Yrs: 40.0 - 54.0%

Females: > 14 Yrs: 35.0 - 48.0%

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%

Pediatric (< = 15 days old) High Critical Limits

Hct: > = 70.0%

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, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley

PHL Test Code: HCT

EPIC Test Code: LAB289

Alternate Test Names: HCT

Included Tests:

CPT Coding: 85014

Parkview Laboratory: Test Directory

Hematocrit

PRODUCTION SCHEDULE