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Absolute Leukocyte Count

Last Modified: 8/16/2010 2:08:58 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:

Blood Count ABN Form: For Non-acceptable narrative descriptions and ICD-9 information see Addendum C
Specimen Requirements: 3.0 mL Whole Blood  in a Lavendar Top Tube - EDTA
Collection Instructions:

Specimen must not be clotted and cannot contain microclots. Overfilling or underfilling of tube may allow the blood to clot.

For slide preparation see Addendum D
Minimum Volume: 0.3 to 0.5 mL from Lavendar Microtainer
Temperature & Stability: 48 hours Refrigerated

Specimen will be accepted up to 48 hours but may be rejected after 36 hours due to WBC deteriotion resulting from improper storage.
Reference Range:
For Pediatric Reference Ranges refer to Addendum B
> 14 years of age: 
Neutrophil: 1.8 - 8.0 th/uL
Lymphocyte: 0.9 - 5.0 th/uL
Monocyte: 0.0 - 1.00 th/uL
Eosinophil: 0.0 - 0.50 th/uL
Basophil: 0.0 - 0.20 th/uL
Methodology: Blood Cell Analyzer
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Hospital, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview North, Parkview Whitley
PHL Test Code: ABS
Included Tests: Absolute Basophil; Absolute Eosinophil; Absolute Lymphocytes; Absolute Monocytes; Absolute Neutrophil
CPT Coding: 85048

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