Collect

One 4 mL EDTA (Lavender) Tube

Pediatric Collection

Fill 1 lavender microtainer to the 500 uL line if possible.  You must immediately place blood into the microtainer and invert 10 times.  Absolute minimum 250 uL.

Unacceptable Conditions

Frozen, clotted, tube under filled, grossly hemolyzed, beyond specified stability

Storage/Transport Temperature

4 mL Whole Blood Refrigerated

Stability (from collection to initiation)

Ambient: 12 hrs; Refrigerated: 24 hrs

Performed

Sun-Sat

Remarks

Send original Tube.

Department

Hematology

Notes

Includes: White blood count (WBC), Red Blood Count (RBC) and indices, Hematocrit (HCT), Hemoglobin (HGB) and Platelet Count

An Advanced Beneficiary Notice (ABN) may be required

Performed

Sun-Sat

Methodology

Automated Cell Count

Reference Interval

See attached reference Ranges for WBC, RBC, Indices, Hematocrit, Hemoglobin and Platelet Count

CBC Reference Ranges 45.2a

CPT Codes

85027
Collection

Collect

One 4 mL EDTA (Lavender) Tube

Pediatric Collection

Fill 1 lavender microtainer to the 500 uL line if possible.  You must immediately place blood into the microtainer and invert 10 times.  Absolute minimum 250 uL.

Unacceptable Conditions

Frozen, clotted, tube under filled, grossly hemolyzed, beyond specified stability

Storage/Transport Temperature

4 mL Whole Blood Refrigerated

Stability (from collection to initiation)

Ambient: 12 hrs; Refrigerated: 24 hrs

Performed

Sun-Sat

Remarks

Send original Tube.

Department

Hematology

Notes

Includes: White blood count (WBC), Red Blood Count (RBC) and indices, Hematocrit (HCT), Hemoglobin (HGB) and Platelet Count

An Advanced Beneficiary Notice (ABN) may be required

Ordering

Performed

Sun-Sat

Methodology

Automated Cell Count
Result Interpretation

Reference Interval

See attached reference Ranges for WBC, RBC, Indices, Hematocrit, Hemoglobin and Platelet Count

CBC Reference Ranges 45.2a

Administrative

CPT Codes

85027