CBC with Platelet Count and Automated Differential

0040003
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Time Sensitive

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UUHSC Testing Only
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.
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
0040080 Hematocrit Effective 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 % 42-60 45-64.9 42-64.9 39-63 31-55 28-42 29-41 33-39 34-40 35-45 37-49 44.2-53
Female % 42-60 45-64.9 42-64.9 39-63 31-55 28-42 29-41 33-39 34-40 35-45 36-46 36-49

0040085 Hemoglobin Effective 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) 13.5-19.5 14.5-22.5 13.5-21.5 12.5-20.5 10.0-18.0 9.0-14.0 9.5-13.5 10.5-13.5 11.5-13.5 11.5-15.5 13.0-16.0 14.8-17.8
Female (g/dL) 13.5-19.5 14.5-22.5 13.5-21.5 12.5-20.5 10.0-18.0 9.0-14.0 9.5-13.5 10.5-13.5 11.5-13.5 11.5-15.5 12.0-16.0 12.6-15.9

0040270 Red Blood Cell Count Effective 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 (M/µL) 3.9-5.5 4.0-6.6 3.9-6.3 3.6-6.2 3.0-5.4 2.7-4.9 3.1-4.5 3.7-5.3 3.9-5.3 4.0-5.2 4.5-5.3 4.7-6.14
Female (M/µL) 3.9-5.5 4.0-6.6 3.9-6.3 3.6-6.2 3.0-5.4 2.7-4.9 3.1-4.5 3.7-5.3 3.9-5.3 4.0-5.2 4.1-5.1 4.08-5.47

0040320 White Blood Cell Count Effective May 16, 2016
Age 0 days 1-6 days 7-13 days 14-29 days 30-60 days 2-11 months 1-3 years 4-5 years 6-7 years 8-13 years 14-17 years 18 years and older
Male (K/µL) 9-30 9-34 5-21 5-20 5-19.5 5.5-17 6-17 5.5-15.5 5-14.5 4.5-13.5 4.5-13 4.3-11.3
Female (K/µL) 9-30 9-34 5-21 5-20 5-19.5 5.5-17 6-17 5.5-15.5 5-14.5 4.5-13.5 4.5-13 4.3-11.3

  Red Cell Distribution Width Effective May 16, 2016
11.5-15.3%
  Mean Platelet Volume Effective May 16, 2016
8.6-12.3 fL
  Immature Platelet Fraction
Age 0-180 days 6-23 months 2-5 years 6-11 years 12-17 years 18 years and older
Male (%) 2.3-7.1 1.7-4.1 1.4-3.9 1.3-5.2 1.9-6.4 1-11.4
Female (%) 1.6-7.1 1.7-4.8 1.3-3.9 1.3-5.0 1.7-6.7 1-11.4

0040235 Platelets Effective May 16, 2016
159-439 K/µL
  Mean Corpuscular Volume Effective 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 (fL) 98-118 95-121 88-126 86-124 85-123 77-115 74-108 70-86 75-87 77-95 78-98 81.2-96.6
Female (fL) 98-118 95-121 88-126 86-124 85-123 77-115 74-108 70-86 75-87 77-95 78-102 81.9-101

  Mean Corpuscular Hemoglobin Effective May 16, 2016
Age
 0-6 days
 7-29 days
30-60 days
61-180 days
 6-23 months
 2-5 years 6-11 years
 12-17 years
 18 years and older
Male (pg) 31-37 28-40 26-34 25-35 23-31 24-30 25-33 25-35 25.8-33.1
Female (pg) 31-37 28-40 26-34 25-35 23-31 24-30 25-33 25-35 25.8-33.1

  Mean Corpuscular HGB Concentration Effective 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 years 14-17 years
 18 years and older
(K/µL) 1.5-10.0 1.5-8.5 1.5-8.0 1.8-8.0 2.0-7.4

  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
% 19-49 14-44 15-25 14-24 13-23 12-22 13-33 15-35

Age
 4-5 years
 6-7 years
 8-9 years
 10-11 years
 12-13 years
 14-17 years
 18 years and older
% 23-45 32-54 34-56 31-61 32-62 33-63 39.4-72.5

  Eosinophil % Effective May 16, 2016
0.4-6.7%
  Eosinophil # Effective May 16, 2016
Age 0-6 days 7 days-11 months 1-13 years 14 years and older
K/µL 0-1 0.1-1.1 0-0.7 0-0.5

  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 years 18 years and older
K/µL 0.4-3.6 0.3-2.7 0-1.1 0-0.8 0.3-1.0

  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 years 14-17 years
 18 years and older
K/µL 2.0-11.0 2-17.0 4-10.5 1.5-7.0 1.2-5.8 1.3-3.6

  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
% 26-36 36-46 43-53 41-71 42-72 44-74 46-76 47-77 48-78

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
% 46-76 44-74 35-65 27-57 24-54 28-48 27-47 25-45 17.6-49.6

  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
Age 0-2 days 3-90 days 91-180 days 6-23 months 2-5 years 6-17 years 18 years and older
% 0.7-7.8 0.4-5.3 0.1-0.7 0.1-1.2 0.1-1.1 0.1-0.5 0.2-0.9

  Immature Granulocytes # Effective May 16, 2016
Age 0-2 days 3-90 days 91-180 days 6-23 months 2-5 years 6-11 years 12-17 years 18 years and older
K/µ/L 0.08-1.68 0.03-0.71 0.02-0.09 0.02-0.18 0.02-0.09 0.02-0.06 0.02-0.05 0.01-0.09

Interpretive Data



No compliance statements are in use for this test.

Note

If abnormalities are detected that fall outside of established parameters, a manual review of the smear will be performed.

Hotline History
N/A
CPT Codes

85025

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Components
Component Test Code* Component Chart Name LOINC
0040031 Basophil # 704-7
0040032 Basophil % 706-2
0040056 Eosinophil # 711-2
0040061 Eosinophil % 713-8
0040070 Granulocyte # 20482-6
0040075 Granulocyte % 19023-1
0040080 Hematocrit 4544-3
0040085 Hemoglobin 718-7
0040125 Lymphocyte # 731-0
0040130 Lymphocyte % 736-9
0040140 Mean Corpuscular HGB Concentration 786-4
0040145 Mean Corpuscular Hemoglobin 785-6
0040150 Mean Corpuscular Volume 787-2
0040170 Monocyte # 742-7
0040175 Monocyte % 5905-5
0040180 Mean Platelet Volume 32623-1
0040235 Platelet 777-3
0040270 Red Blood Cell 789-8
0040275 Red Cell Distribution Width 788-0
0040320 White Blood Cell Count 6690-2
2013361 Immature Platelet Fraction
2013369 Nucleated Red Blood Cell #
2013370 Nucleated Red Blood Cells %
2013434 Immature Granulocytes %
2013435 Immature 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
CBC with Platelet Count and Automated Differential