Complete Blood Count

Overview

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

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


Specimen Collection & Preparation

Specimen Requirements

3.0 mL Whole Blood in a Lavender Top Tube - EDTA

Alternate Specimen

0.3 mL but no more than 0.5 mL Whole Blood in a Lavendar Microtainer

TransportAndStorage

24 hours Ambient
72 hours Refrigerated

Collection Instructions

Mix tube by inversion 5 times

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

Clinical Interpretation

Reference Range:

For Pediatric Reference Ranges refer to Addendum B
Males > 14 Yrs
WBC: 3.5 - 10.5 th/ul
RBC: 4.3 - 5.7 mi/ul
Hgb: 13.5 - 17.2 g/dl
Hct: 40.0 - 54.0%
MCV: 82.0 - 98.0 fl
MCH: 27.0 - 33.0 pg
MCHC: 32.0 - 36.0 g/dl
Platelet: 150.0 - 450.0 th/ul
RDWSD: 36.4 - 54.5 fl
RDWCV: 11.5 - 14.5%
MPV: 8.6 - 12.6 fl                   

PCI/PRMC/PVH/PDH: IPF: 0.9-7.2% 

Females > 14 Yrs
WBC: 3.5 - 10.5 th/ul
RBC: 4.0 - 5.2 mi/ul
Hgb: 12.0 - 15.5 g/dl
Hct: 35.0 - 48.0%
MCV: 82.0 - 98.0 fl
MCH: 27.0 - 33.0 pg
MCHC: 32.0 - 36.0 g/dl
Platelet: 150.0 - 450.0 th/ul
RDWSD: 36.4 - 54.5 fl
RDWCV: 11.5 - 14.5%
MPV: 8.6 - 12.6 fl                       

PCI/PRMC/PVH/PDH: IPF 0.9-7.2%


Critical Ranges:

Pediatric (< = 15 days old) Low Critical Limits
WBC: < = 2.0 t/ul
Hgb: < = 10.0 g/dl
Platelet: < = 30.0 t/ul

Pediatric (< = 15 days old) High Critical Limits
WBC: > = 39.0 t/ul
Hgb: > = 24.0 g/dl
Hct: > = 70.0%
Platelet: > = 850 t/ul 
 
Low Critical Limits 
WBC: < = 1.5 t/ul
Hgb: < = 6.0 g/dl
Platelet: < = 30 t/ul

High Critical Limits 
WBC: > = 40.0 t/ul
Hgb: > = 19.0 g/dl
Platelet: > = 850 t/ul

NICU >15 days old Critical Limits: 
HCT: <=30% and >=70%
Platelet: <= 100.0 th/ul

NICU >15 days old Critical Limits: 
HCT:  <=25% and >=70%
Platelet: >= 600 th/ul

Oncology Wards Low Critical Limits: 
WBC: <=1.0 t/ul                      
Hgb: <=5.0 g/dl
Platelet: <=20 th/ul 

OHP Low Critical Limit: 
Hgb: <= 7.5 g/dl
Platelet: <=50 th/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)

PCI, PRMC, PVH: If PH <50,000, IPF% (Imm PH fract will be reflexed)


Methodology:
  • Blood Cell Analyzer

Production Schedule

Sites Performed
  • Parkview Cancer Institute
  • Parkview DeKalb Hospital
  • Parkview Huntington Hospital
  • Parkview Kosciusko Hospital
  • Parkview LaGrange 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
Stat Eligible

Coding & Compliance

CDM

01436636


CPT Coding

85027 (Reflex 85055)


Medical Necessity May Apply