Overview

EPIC Code:
LAB3259

Soft Test Code:
DACBC

Alternate Names

CBC with Diff
CBCWD Direct Access Testing

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); Automated Differential

Specimen Collection & Preparation

Specimen Requirements:

-OR-

3.0 mL Whole Blood in a Lavender Top Tube - EDTA

Minimum Volume:

1.5 mL Whole Blood*

* 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): 48 Hours

Clinical Interpretation

Reference Range:

For Pediatric Reference Ranges refer to Addendum B

Males > 14 Years

WBC: 3.4 - 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

RDWSD: 36.4 - 54.5 fl

RDWCV: 11.5 - 14.5%

Platelet: 150.0 - 450.0 th/ul
MPV: 8.6 - 12.6 fl

PRMC/PCI/PDH/PVH/PKH/PBRY:

IPF: 0.9 - 7.2%

Females > 14 Years

WBC: 3.4 - 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

RDWSD: 36.4 - 54.5 fl

RDWCV: 11.5 - 14.5%

Platelet: 150.0 - 450.0 th/ul
MPV: 8.6 - 12.6 fl

PRMC/PCI/PDH/PVH/PKH/PBRY:

IPF: 0.9 - 7.2%

Adults > 14 Years
Neuts: 45 - 75%

Lymphs: 17 - 43%

Monos: 0 - 12%

Eos: 0 - 4%

Basos: 0 - 2%
IG (Metas - Pros): 0 - 1%

Critical Ranges:

Pediatric (<= 15 days old) Low Critical Limits:

WBC: <= 2.0 th/ul

HGB: <= 10.0 g/dl

Platelet: <= 30.0 th/ul

Pediatric (<= 15 days old) High Critical Limits:

WBC: >= 39.0 th/ul

HGB: >= 24.0 g/dl

HCT: >= 70.0%

Platelet: >= 850 th/ul

Low Critical Limits:
WBC: <= 1.5 th/ul

Abs Neut: <= 0.50 th/ul

HGB: <= 6.0 g/dl

HCT: <=18%

Platelet: <= 30 th/ul

High Critical Limits:
WBC: >= 40.0 th/ul

HGB: >= 19.0 g/dl

HCT: >= 56%

Platelet: >= 850 th/ul

Differential Critical Results:

Blasts, bacteria, fungi, malarial or blood parasites

Test Comments:

Manual differential or peripheral smear review for morphology will reflex based on established criteria.

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

At PRMC, PCI, 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

Days Performed

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Departments

Hematology

Turn Around Time

Same day/1 to 2 days

Coding & Compliance

CDM

01418020

CPT Coding

85025 (Reflex 85007, 85008) | PRMC/PVH/PCI <50,000 PLT reflex 85055

Complete Blood Count with Differential (Direct Access Testing)