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CBC with Platelet Count and Automated Differential
0040003
Ordering Recommendation
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.
Submit With Order
ARUP Consult®
Disease Topics
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: 24 hours (without smears); Refrigerated: 48 hours; Frozen: Unacceptable 
Reference Interval
Effective May 16, 2016
Test Number
Components
Reference Interval
0040080HematocritEffective May 16, 2016
Age
0 days
1-6 days
7-13 days
14-29 days
30-60 days
61-90 days
91-180 days
6-23 months
2-5 years
6-11 years
12-17 years
18 years
and older
Male %42-6045-64.942-64.939-6331-5528-4229-4133-3934-4035-4537-4944.2-53
Female %42-6045-64.942-64.939-6331-5528-4229-4133-3934-4035-4536-4636-49

0040085HemoglobinEffective May 16, 2016
Age
0 days
1-6 days
7-13 days
14-29 days
30-60 days
61-90 days
91-180 days
6 - 23 months
2-5 years
6-11 years
12-17 years
18 years and older
Male (g/dL)13.5-19.514.5-22.513.5-21.512.5-20.510.0-18.09.0-14.09.5-13.510.5-13.511.5-13.511.5-15.513.0-16.014.8-17.8
Female (g/dL)13.5-19.514.5-22.513.5-21.512.5-20.510.0-18.09.0-14.09.5-13.510.5-13.511.5-13.511.5-15.512.0-16.012.6-15.9

0040270Red Blood Cell CountEffective May 16, 2016
Age
0 days
1-6 days
7-13 days
14-29 days
30-60 days
61-90 days
91-180 days6 - 23 months
2-5 years
6-11 years
12-17 years18 years and older
Male (M/µL)3.9-5.54.0-6.63.9-6.33.6-6.23.0-5.42.7-4.93.1-4.53.7-5.33.9-5.34.0-5.24.5-5.34.7-6.14
Female (M/µL)3.9-5.54.0-6.63.9-6.33.6-6.23.0-5.42.7-4.93.1-4.53.7-5.33.9-5.34.0-5.24.1-5.14.08-5.47

0040320White Blood Cell CountEffective May 16, 2016
Age0 days1-6 days7-13 days14-29 days30-60 days2-11 months1-3 years4-5 years6-7 years8-13 years14-17 years18 years and older
Male (K/µL)9-309-345-215-205-19.55.5-176-175.5-15.55-14.54.5-13.54.5-134.3-11.3
Female (K/µL)9-309-345-215-205-19.55.5-176-175.5-15.55-14.54.5-13.54.5-134.3-11.3

 Red Cell Distribution WidthEffective May 16, 2016
11.5-15.3%
 Mean Platelet VolumeEffective May 16, 2016
8.6-12.3 fL
 Immature Platelet Fraction
Age0-180 days6-23 months2-5 years6-11 years12-17 years 18 years and older
Male (%)2.3-7.11.7-4.11.4-3.91.3-5.21.9-6.41-11.4
Female (%)1.6-7.11.7-4.81.3-3.91.3-5.01.7-6.71-11.4

0040235PlateletsEffective May 16, 2016
159-439 K/µL
 Mean Corpuscular VolumeEffective May 16, 2016
Age
0 days
1-6 days
7-13 days
14-29 days
30-60 days
61-90 days91-180 days
6-23 months
2-5 years
6-11 years
12-17 years18 years and older
Male (fL)98-11895-12188-12686-12485-12377-11574-10870-8675-8777-9578-9881.2-96.6
Female (fL)98-11895-12188-12686-12485-12377-11574-10870-8675-8777-9578-10281.9-101

 Mean Corpuscular HemoglobinEffective May 16, 2016
Age
0-6 days
7-29 days
30-60 days
61-180 days
6-23 months
2-5 years6-11 years
12-17 years
18 years and older
Male (pg)31-3728-4026-3425-3523-3124-3025-3325-3525.8-33.1
Female (pg)31-3728-4026-3425-3523-3124-3025-3325-3525.8-33.1

 Mean Corpuscular HGB ConcentrationEffective May 16, 2016
Male: 31.9-35.2 g/dL
Female: 31.2-34.5 g/dL
 Granulocyte #Effective May 16, 2016
Age
0-11 months
1-5 years
6-13 years14-17 years
18 years and older
(K/µL)1.5-10.01.5-8.51.5-8.01.8-8.02.0-7.4

 Granulocyte %Effective May 16, 2016
Age
0-13 days
14-29 days
30-90 days
90-180 days
6-9 months
10-11 months
12-23 months
2-3 years
%19-4914-4415-2514-2413-2312-2213-3315-35

Age
4-5 years
6-7 years
8-9 years
10-11 years
12-13 years
14-17 years
18 years and older
%23-4532-5434-5631-6132-6233-6339.4-72.5

 Eosinophil %Effective May 16, 2016
0.4-6.7%
 Eosinophil #Effective May 16, 2016
Age0-6 days7 days-11 months1-13 years14 years and older
K/µL0-10.1-1.10-0.70-0.5

 Basophil #Effective May 16, 2016
0-0.1 K/µL
 Basophil %Effective May 16, 2016
0.3-1.4%
 Monocyte #Effective May 16, 2016
Age
0-6 days
7 days-11 months
1-5 years
6-17 years18 years and older
K/µL0.4-3.60.3-2.70-1.10-0.80.3-1.0

 Monocyte %Effective May 16, 2016
Age
0-6 days
7-29 days
30-60 days
61-120 days
4 months and older
%0-9%0-12%0-10%0-9%4.1-12.4%

 Lymphocyte #Effective May 16, 2016
Age
0-6 days
7 days-11 months
1-5 years
6-13 years14-17 years
18 years and older
K/µL2.0-11.02-17.04-10.51.5-7.01.2-5.81.3-3.6

 Lymphocyte %Effective May 16, 2016
Age
0-6 days
7-13 days
14-29 days
30-60 days
61-90 days
91-180 days
6-7 months
8-9 months
10-11 months
%26-3636-4643-5341-7142-7244-7446-7647-7748-78

Age
12-23 months
2-3 years
4-5 years
6-7 years
8-9 years
10-13 years
14-15 years
16-17 years
18 years and older
%46-7644-7435-6527-5724-5428-4827-4725-4517.6-49.6

 Nucleated Red Blood Cells %Effective May 16, 2016
0-3 days:  0.1-8.3%
4 days and older:  0% 
 Nucleated Red Blood Cell #Effective May 16, 2016
0-3 days:   0-1.3 K/µL
4 days and older:  0 K/µL
 Immature Granulocytes %Effective May 16, 2016
Age0-2 days3-90 days91-180 days6-23 months2-5 years6-17 years18 years and older
%0.7-7.80.4-5.30.1-0.70.1-1.20.1-1.10.1-0.50.2-0.9

 Immature Granulocytes #Effective May 16, 2016
Age0-2 days3-90 days91-180 days6-23 months2-5 years6-11 years12-17 years18 years and older
K/µ/L0.08-1.680.03-0.710.02-0.090.02-0.180.02-0.090.02-0.060.02-0.050.01-0.09


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 NameLOINC
0040031Basophil #704-7
0040032Basophil %706-2
0040056Eosinophil #711-2
0040061Eosinophil %713-8
0040070Granulocyte #20482-6
0040075Granulocyte %19023-1
0040080Hematocrit4544-3
0040085Hemoglobin718-7
0040125Lymphocyte #731-0
0040130Lymphocyte %736-9
0040140Mean Corpuscular HGB Concentration786-4
0040145Mean Corpuscular Hemoglobin785-6
0040150Mean Corpuscular Volume787-2
0040170Monocyte #742-7
0040175Monocyte %5905-5
0040180Mean Platelet Volume32623-1
0040235Platelet777-3
0040270Red Blood Cell789-8
0040275Red Cell Distribution Width788-0
0040320White Blood Cell Count6690-2
2013361Immature Platelet Fraction
2013369Nucleated Red Blood Cell #
2013370Nucleated Red Blood Cells %
2013434Immature Granulocytes %
2013435Immature Granulocytes #
* 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.
Aliases
  • CBC with diff, CBC with differential, Complete Blood Count including differential