CBC with Platelet Count and Automated Differential

0040003
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Female
Male

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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

Specimens from New York clients will be sent out to a New York DOH approved laboratory, if possible.

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
  Total Neutrophil Number 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

  Total Neutrophil Percent 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



Compliance Category

FDA

Note

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

Hotline History

View Hotline History

 

Hotline History

Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
03/01/2021
X
X
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 Total Neutrophil Number 20482-6
0040075 Total Neutrophil Percent 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