HEMATOCRIT

Test Code
LAB289


Alias/See Also
HCT


CPT Codes
85014

Preferred Specimen
Lavender top tube


Minimum Volume
1.0 mL


Other Acceptable Specimens
Pediatric lavender tube


Instructions
Invert tube immediately and gently mix blood with anticoagulant


Transport Container
Lavender


Transport Temperature
Refrigerated


Methodology
Impedance

Setup Schedule
Set Up:Daily Report Available: Routine 4 hours/STAT 1 hour


Reference Range
HEMATOCRIT Sysmex % Males
      0 - 5 days: 44.0 -64.0
      Critical: <25.0 or >65.0
      5 - 8 dys days: 35.0 - 49.0
      Critical: <25.0 or >65.0
      8 - 90 days: 35.0 - 49.0
      Critical: <25.0 or >59.9
      91 days - 2 years: 30.0 - 40.0
      Critical: <25.0 or >59.9
      2 - 6 years: 31.0 - 43.0
      Critical: <25.0 or >59.9
      >=6 years: 40.0 - 54.0
      Critical: <20.1 or >59.9
      Females
      0 - 5 days: 44.0 - 64.0
      Critical: <25.0 or >65.0
      5 - 90 days: 35.0 - 49.0
      Critical: <25.0 or >59.9
      91 days - 2 years: 30.0 - 40.0
      Critical: <25.0 or >59.9
      2 - 6 years: 31.0 -43.0
      Critical: <25.0 or >59.9
      >=6 years: 38.0-47.0
      Critical: <20.1 or >59.9


Clinical Significance
Blood is made up of red blood cells, white blood cells, and plasma. A decrease in the number or size of red cells also decreases the amount of space they occupy, resulting in a lower hematocrit. An increase in the number or size of red cells increases the amount of space they occupy, resulting in a higher hematocrit. Thalassemia is a condition which can cause an increased number of red blood cells but a decreased size and hematocrit. The hematocrit is usually done on a person with symptoms of anemia. An anemic person has fewer or smaller than normal red cells. A low hematocrit, combined with other abnormal blood tests, confirms the diagnosis. Some conditions, such as polycythemia, cause an overproduction of red blood cells, resulting in an increased hematocrit. Transfusion decisions are based on the results of laboratory tests, including hematocrit. Transfusion is not considered if the hematocrit level is reasonable. The level differs for each person, depending on his or her clinical condition ref: Gale Encyclopedia of Medicine.


Performing Laboratory
GBMC Hematology



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.