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Test Code LAB5050 Complete Blood Count with Manual Differential

Performing Laboratory

Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center / Asante Ashland Community Hospital / Asante White City Laboratory

Specimen Minimum Volume

1.0 ml

Billing Code

2011898, 2011880

Methodology

Automated Analyzer Cellular Analysis

Microscopic differential performed on a Wright stained peripheral blood smear.

Specimen Requirements

Lavender top tube

 

Required volume 3.0 ml

Mix specimen 10 times by gentle inversion.

If specimen is not brought to the laboratory within 4-6 hours, refrigeration is required.

Reasons for Rejection

Hemolysis

Quantity not sufficient (QNS)

Lacking Two Patient Identifiers:

         1-Patient's First & Last name 

         2-Patient's Date of Birth

Clotted specimen

Day(s) Test Set Up

Monday through Sunday

Routine - same day

ASAP - 2 hours after receipt of specimen in lab

STAT - 1 hour after receipt of specimen in lab

Test Classification and CPT Coding

85007  -  Blood count; blood smear, microscopic examination with manual differential WBC count

85027  -  Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)

Additional Information

Evaluation of anemia, leukemia, reaction to inflammation and infections, peripheral blood cellular characteristics, state of hydration and dehydration, polycythemia, hemolytic disease of the newborn and ABO incompatibilities.  If the doctor requests a CBC with a manual diff, a manual differential or slide differential is done by a tech.  All automated flagged differentials will automatically get a manual diff.

Specimen Transport Temperature and Stability

Stable refrigerated for 24 hours at 2° to 8° C

Performing Department

Hematology