Complete Blood Count

Overview

  • EPIC Code:
  • LAB294
  • Soft Test Code:
  • CBCND
Alternate Names
  • CBC
  • CBC No Differential
  • Hemogram
  • Hemogram (CBC/No Diff)
Included Tests

White Blood Cell Count (WBC); Red Blood Cell Count (RBC); Hemoglobin (HGB); Hematocrit (HCT); Mean Corpuscular Volume (MCV); Mean Corpuscular Hemoglobin (MCH); Mean Corpuscular Hemoglobin Concentration (MCHC); Red Cell Distribution Width Standard Deviation (RDWSD); Red Cell Distribution Width Coefficient Variation (RDWCV); Platelet (PLT); Mean Platelet Volume (MPV)


Specimen Collection & Preparation

Specimen Requirements:

-OR-

Whole Blood in K2 EDTA 3.0 mL Lavender Top Tube
Minimum Volume:
1.0 ml whole blood*
Neonatal Volume:
0.3 ml (300ul) in Microtainer collection tube*

* This volume does not allow for repeat testing

Collection Instructions:

Mix tube by inversion 5 times

Do not centrifuge

Specimens must not be clotted. Overfilling or underfilling may allow blood to clot. Specimens may be rejected due to improper storage or age of specimen.


Rejection Criteria:

Clotted specimens


Transport and Storage:
  • Ambient (18-24°C): 24 Hours
  • Refrigerated (2-8°C): 72 Hours

Clinical Interpretation

Reference Range:

For Pediatric Reference Ranges refer to Addendum B
Adults > 14 Years
WBC: 3.4 - 10.5 x10^3/uL
RBC: 4.30 - 5.70 x10^6/uL (Male)
 4.00-5.20 x10^6/uL (Female)
 4.00-5.70 x10^6/uL (Unknown*)
HGB: 13.5 - 17.2 g/dl (Male) 
 12.0-15.5 g/dl (Female)
 12.0-17.2 g/dl (Unknown*)
HCT:  40.0 - 54.0% (Male)
 35.0-48.0% (Female)
 35.0-54.0% (Unknown*)
MCV: 82.0 - 98.0 fl
MCH: 27.0 - 33.0 pg
MCHC: 32.0 - 36.0 g/dl
RDWSD: 36.4 - 54.5 fl
RDWCV: 11.5 - 14.5%
Platelet: 150 - 450 x10^3/uL
MPV: 8.6 - 12.6 fl
IPF: 0.9 - 7.2% (Reportable only at PRMC, PFCI, PDH, PVH, PKH, and PBRY)
*Unknown reference range is used when sex is not known, undisclosed, or there is a mismatch between birth sex and gender in LIS. Becuase the reference range for these parameters is sex-specific the range may not apply to these patients so a broader range that includes typical ranges for both male and female patients is used. 


Critical Ranges:

Pediatric (<= 15 days old) Low Critical Limits:
WBC: <= 2.0 x10^3/uL
HGB: <= 10.0 g/dl
Platelet: <= 30 x10^3/uL

Pediatric (<= 15 days old) High Critical Limits:
WBC: >= 39.0 x10^3/uL
HGB: >= 24.0 g/dl
HCT: >= 70.0%
Platelet: >= 850 x10^3/uL
 
Low Critical Limits: 
WBC: <= 1.5 x10^3/uL
HGB: <= 6.0 g/dl
HCT: <=18%
Platelet: <= 30 x10^3/uL

 
For PFCI: Critical low WBC will not be called to the physician per physician request.
High Critical Limits: 
WBC: >= 40.0 x10^3/uL
HGB: >= 19.0 g/dl
HCT: >= 56%
Platelet: >= 850 x10^3/uL

NICU <= 15 days old Critical Limits: 
HCT: <=30% and >=70%
Platelet: <= 100.0 x10^3/uL and >= 600 x10^3/uL

NICU >15 days old Critical Limits: 
HCT:  <=25% and >=70%
Platelet: <= 100.0 x10^3/uL and >= 600 x10^3/uL

Inpatient Oncology Low Critical Limits: 
WBC: <= 1.0 x10^3/uL                      
HGB: <= 5.0 g/dl 
Platelet: <=20 x10^3/uL
For Inpatient Oncology: Criticals may be seen repeatedly over several days. In these cases, it is only necessary to call the critical value on the first occurrence of the current admission.
Inpatient Oncology High Critical Limits: 
WBC: >=40 x10^3/uL                   
HGB: >=19 g/dl 
Platelet: >= 850 x10^3/uL
For Inpatient Oncology: Criticals may be seen repeatedly over several days. In these cases, it is only necessary to call the critical value on the first occurrence of the current admission.

Ortho Hosptial Patients Low Critical Limits: 
HGB: <= 7.5 g/dl
Platelet: <= 50 x10^3/uL
Ortho Hosptial Patients High Critical Limits: 
HGB: >=19 g/dl
Platelet: >= 850 x10^3/uL


Test Comments:

IPF (Immature Platelet Fraction) is a measurement of thrombopoietic activity that helps determine the cause of thrombocytopenia (platelet production vs. platelet destruction).

At PRMC, PFCI, PDH, PVH, PKH, PBRY:

If PLT is <50,000, it will automatically reflex the PLT-F to run with the IPF value. IPF value will be reported. 


Methodology:
  • Blood Cell Analyzer

Production Schedule

Sites Performed
  • Parkview Bryan Hospital
  • Parkview Cancer Institute
  • Parkview DeKalb Hospital
  • Parkview Huntington Hospital
  • Parkview Kosciusko Hospital
  • Parkview LaGrange Hospital
  • Parkview Montpelier Hospital
  • Parkview Noble Hospital
  • Parkview Randallia Hospital
  • Parkview Regional Medical Center
  • Parkview Southwest
  • Parkview Wabash Hospital
  • Parkview Whitley Hospital
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Hematology
Turn Around Time

Same day/1 to 2 days


Stat Eligible

Coding & Compliance

CDM

01436636


CPT Coding

85027 (Reflex 85055)


Medical Necessity May Apply