CBC with Platelet Count and Automated Differential
0040003
Ordering Recommendation
Submit With Order
Mnemonic
CBCAD
Methodology
Automated Cell Count/Differential
Performed
Sun-Sat
Reported
Within 24 hours
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
 
Collect
Lavender (EDTA) or pink (K2EDTA) AND unstained whole blood smears.  
Specimen Preparation
Transport 3 mL whole blood AND 2 unstained whole blood smears. (Min: 0.5 mL. Tube must contain at least 0.25 mL of specimen AND two unstained blood smears.)  
Storage/Transport Temperature
Refrigerated.  
Unacceptable Conditions
Frozen specimens. Clotted or grossly hemolyzed specimens.  
Remarks
 
Stability
Ambient: 8 hours (without smears); Refrigerated: MPV: 8 hours, All others: 24 hours; Frozen: Unacceptable  
Reference Interval
Age intervals for established ranges effective May 21, 2012
Test Number Components Reference Interval
0040080Hematocrit
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11years 12 years
and older
Male % 43.4-​56.1% 40.2-​54.7% 33.7-​55.1% 29.7-​44.2% 26.2-​35.3% 28.7-​36.1% 30.9-​37.0% 31.7-​37.7% 32.7-​39.3% 40.8-​51.9%
Female % 37.4-​55.9% 39.1-​56.7% 36.4-​51.2% 30.6-​44.7% 26.3-​36.6% 28.5-​36.1% 31.2-​37.2% 32.0-​37.1% 33.0-​36.9% 34.3-​46.6%
0040085Hemoglobin
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6 -​ 23 months 2-​5 years 6-​11 years 12 years and older
Male (g/dL) 14.7-​18.6 13.4-​17.9 11.1-​16.7 9.9-​14.9 8.9-​11.9 9.7-​12.2 10.3-​12.4 10.5-​12.7 11.0-​13.3 14.6-​17.8
Female (g/dL) 12.7-​18.3 12.2-​18.7 11.9-​16.9 10.5-​14.7 8.9-​12.3 9.7-​12.0 10.4-​12.4 10.7-​12.7 10.9-​13.3 12.1-​15.9
0040270Red Blood Cell Count
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6 -​ 23 months 2-​5 years 6-​11 years 12 years and older
Male (M/µL) 4.20-​5.50 3.90-​5.40 3.40-​5.10 3.10-​4.60 2.90-​3.90 3.50-​4.70 4.10-​5.00 4.00-​4.90 4.00-​4.90 4.69-​6.07
Female (M/µL) 3.40-​5.40 3.50-​5.50 3.20-​5.00 3.10-​4.60 2.90-​4.10 3.40-​4.60 4.10-​4.90 4.00-​4.90 4.00-​4.90 3.88-​5.46
0040320White Blood Cell Count
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male (K/µL) 6.8-​13.3 8.3-​14.1 8.2-​14.4 7.4-​14.6 6.7-​14.2 6.9-​15.7 6.2-​14.5 5.3-​11.5 4.5-​10.5 3.2-​10.6
Female (K/µL) 8.0-​14.3 8.8-​14.8 8.4-​15.4 8.3-​14.7 7.0-​15.1 6.8-​16.0 6.4-​15.0 5.3-​11.5 4.7-​10.3 3.2-​10.6
RDW 12 years and older: 10.8-​14.1%
MPV 12 years and older: 5.9-​9.8 fL
MCV
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male (fL) 97.3-​109.8 95.5-​109.3 93.1-​105.4 88.7-​101.2 84.6-​95.4 73.6-​86.6 70.5-​81.2 72.7-​83.6 75.9-​86.5 77.8-​94.0
Female (fL) 99.4-​113.8 97.9-​111.6 97.3-​109.3 91.8-​102.5 85.0-​96.9 74.7-​87.6 71.5-​81.8 73.8-​84.3 76.8-​87.6 77.8-​94.0
MCH
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 0.2-​2 years 2-​6 years 6-​12 years > 12 years
Male (pg) 32.5-​36.5 31.1-​36.5 30.6-​35.7 30.1-​33.8 28.4-​32.6 24.5-​29.1 23.2-​27.5 24.1-​28.4 25.4-​29.4 26.5-​32.6
Female (pg) 32.6-​37.8 32.2-​36.6 31.7-​36.5 30.8-​34.6 28.6-​32.9 24.7-​29.6 23.5-​27.6 24.3-​28.6 25.4-​
29.6
26.5-​32.6
MCHC
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male (g/dL) 32.1-​34.2 32.0-​34.6 32.0-​35.0 32.3-​35.0 32.5-​35.5 32.0-​35.1 31.9-​35.0 31.9-​35.1 32.2-​35.2 32.7-​36.9
Female (g/dL) 31.6-​34.7 31.8-​34.6 32.1-​34.8 32.0-​35.0 32.2-​35.3 32.0-​35.1 31.8-​34.8 31.9-​35.0 31.9-​35.0 32.7-​36.9
Granulocytes Number
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male (K/µL) 1.7-​4.7 1.9-​4.1 1.9-​5.2 1.5-​3.6 1.2-​4.4 1.4-​6.4 1.6-​8.3 1.8-​7.4 1.8-​6.6 1.3-​7.0
Female (K/µL) 2.1-​8.4 1.8-​5.1 1.7-​5.4 1.3-​4.3 1.2-​4.9 1.4-​6.7 1.8-​9.1 1.8-​6.8 1.8-​6.7 1.3-​7.0
Granulocytes Percentage
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male 24.1-​50.3% 18.4-​36.3% 18.3-​36.3% 14.7-​35.3% 14.2-​40.0% 1.36-​51.6% 21.3-​66.7% 30.3-​74.3% 36.3-​74.3% 44.0-​76.0%
Female 23.1-​58.4% 18.0-​35.0% 17.1-​33.1% 13.5-​41.6% 13.6-​44.5% 16.3-​53.6% 22.2-​67.1% 30.4-​73.3% 37.4-​77.1% 44.0-​76.0%
Eosinophils Number
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 0.5-​2 years 2-​6 years 6-​12 years > 12 years
Male K/µL NA NA NA NA NA NA NA NA NA 0.0-​0.4
Female K/µL NA NA NA NA NA NA NA NA NA 0.0-​0.4
Eosinophils Percentage
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male % 0.0-​8.0 0.0-​5.9 0.0-​6.9 0.0-​6.4 0.0-​5.7 0.0-​4.6 0.0-​3.3 0.0-​4.3 0.0-​5.8 0.0-​6.0
Female % 0.0-​5.6 0.0-​5.1 0.0-​5.6 0.0-​5.1 0.0-​4.7 0.0-​3.7 0.0-​3.0 0.0-​4.3 0.0-​5.8 0.0-​6.0
Basophil Number
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male K/µL NA NA NA NA NA NA NA NA NA 0.0-​0.1
Female K/µL NA NA NA NA NA NA NA NA NA 0.0-​0.1
Basophil Percentage 0-​2%
Monocytes Number
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male K/µL NA NA NA NA NA NA NA NA NA 0.2-​0.7
Female K/µL NA NA NA NA NA NA NA NA NA 0.2-​0.7
Monocytes Percentage
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 years 2-​5 years 6-​11 years 12 years and older
Male 7-​13% 8-​13% 6-​13% 7-​14% 6-​14% 5.-​13% 5-​11% 4-​9% 4-​9% 4-​8.9%
Female 8-​13% 6-​12% 7-​14% 6-​16% 6-​16% 5-​12% 4-​11% 4-​9% 4-​8% 4-​8.9%
Lymphocytes Number
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male K/µL 2.2-​5.4 4.3-​7.7 4.2-​7.4 3.9-​8.5 3.3-​8.3 2.8-​8.3 1.9-​6.8 1.3-​4.7 1.1-​3.4 0.8-​3.1
Female K/µL 2.8-​5.3 4.9-​7.0 4.4-​8.3 4.1-​8.9 3.2-​9.1 2.8-​8.4 1.2-​7.0 1.4-​4.7 1.1-​3.5 0.8-​3.1
Lymphocytes Percentage
Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​23 months 2-​5 years 6-​11 years 12 years and older
Male 26-​57% 39-​61% 40-​62% 41-​65% 40-​70% 32-​69% 20-​64% 14-​55% 14-​48% 15-​43%
Female 28-​55% 39-​64% 45-​67% 35-​67% 37-​70% 30-​69% 20-​63% 16-​56% 13-​48% 15-​43%

Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​35 months 3-​6 years 7-​11 years 12 years and older
0040235 Platelets Male (K/µL) 164-​351 220-​411 226-​587 210-​493 275-​567 275-​566 219-​452 204-​405 194-​364 177-​406
Female (K/µL) 234-​346 126-​462 265-​557 236-​554 295-​615 288-​598 229-​465 204-​402 183-​369 177-​406
Interpretive Data
Note
If abnormalities are detected that fall outside of established parameters, a manual review of the smear will be performed.
CPT Code(s)
85025
Components
Component Test Code*Component Chart Name
0040012Lymphocyte #
0040013Lymphocyte %
0040031Basophil #
0040032Basophil %
0040056Eosinophil #
0040061Eosinophil %
0040070Granulocyte #
0040075Granulocyte %
0040080Hematocrit
0040085Hemoglobin
0040140Mean Corpuscular HGB Concentration
0040145Mean Corpuscular Hemoglobin
0040150Mean Corpuscular Volume
0040170Monocyte #
0040175Monocyte %
0040180Mean Platelet Volume
0040235Platelet
0040270Red Blood Cell
0040275Red Cell Distribution Width
0040320White Blood Cell Count
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Cross References
  • CBC with diff, CBC with differential, Complete Blood Count including differential