Comprehensive Peripheral Blood Evaluation

Test Code

39210

CPT Codes
Limited Access Code

Includes

Please note: This profile includes test codes 833X, 35080 and 14600. Test code 14600 could be changed to downgrade codes: 37872 and 39650 and this change will apply to this LAC.

Comprehensive Hematopathology Report is structured to allow the lab to perform additional testing at an additional charge if deemed medically necessary for proper evaluation by the reviewing pathologist.

Preferred Specimen

Peripheral blood smears, or 5 mL whole blood collected in each of two sodium heparin (green-top) tubes

Instructions

Required information: Patient history and any other relevant information; CBC results; peripheral blood smear; name, telephone # and fax # of referring physician.

A CBC report would also be required.

Preferred Specimen(s): Peripheral blood smears, two 5 mL blood sodium heparin (green-top) tubes, a recent CBC report

Transport Temperature

Room temperature

Specimen Stability

Room temperature: Indefinitely
Refrigerated: Unacceptable
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Hemolysis • Poor quality smears • Clotted whole blood

Methodology
Manual

Setup Schedule

Set up: Mon-Fri; Report available: 10 days

Reference Range

See Laboratory Report

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.