CBC WITH DIFFERENTIAL

Test Code
LAB293


CPT Codes
85027

Includes
WBC, RBC, HGB, HCT, MCV, MCH,MCHC, RDW, PLT, MPV, Leuokocyte percent,  (IG) and absoluteleukocyte counts.


Preferred Specimen
One 3mL lavender top tube
Pediatric: One lavender top microtainer (0.5mL blood)


Minimum Volume
1 mL blood(Adult)


Transport Temperature
Ambient or Refrigerated


Specimen Stability
CBC Ambient: 24 hours   CBC Refrigerated: 48 hours   Differential Ambient: 24 hours   Differential Refrigerated: 48 hours    
Note: Differentials requiring a manual slide reivew- Slides should be made within 4 hours for best cell integrity.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Clotted specimen or questionable specimen integrity due to improper collection.


Methodology
Sysmex XN10

Reference Range
Female ranges
Age WBC
103/uL
RBC  106/uL HGB g/dL HCT     % MCV   fL MCH   pg MCHC g/dL RDW   % PLT 103/uL MPV   fL
>18 year 3.7-11.0 3.85-5.22 11.5-16.0 34.8-46.0 78-100 26-32 31-35.5 11.5-15.5 150-400 8.7-12.5
12-18 y 4.2-9.4 3.93-4.90 10.8-13.3 33.4-40.4 76.9-90.6 24.8-30.2 31.5-34.2 12.3-14.6 194-345 9.6-11.7
6-12 y 4.3-11.4 3.90-4.96 10.6-13.2 32.4-39.5 75.9-87.6 24.8-29.5 31.8-34.6 12.2-14.4 199-367 9.3-11.3
2-6y 4.9-13.2 3.84-4.92 10.2-12.7 31.2-37.8 72.3-85.0 23.7-28.6 31.8-34.6 12.4-14.9 189-394 8.9-11.0
181 day -2y 6.5-13.0 3.97-5.01 10.2-12.7 30.9-37.9 71.3-82.6 23.2-27.5 31.9-34.2 12.7-15.1 214-459 8.8-10.6
61d-180 day 6.0-13.3 3.45-4.75 9.9-12.4 29.5-37.1 74.8-88.3 24.4-29.5 32.1-34.4 12.2-14.3 247-580 9.0-10.9
31 d- 60 day 7.1-14.7 2.93-3.87 9.2-11.4 27.7-35.1 83.4-96.4 28.0-32.5 32.5-34.9 13.6-15.8 331-597 9.4-11.1
15d- 30 day 8.4-14.4 3.32-4.80 10.8-14.6 32.0-44.5 90.1-103.0 30.4-35.3 33.2-35.0 14.4-16.2 279-571 10.0-12.2
0-14 day 8.2-14.6 4.12-5.74 13.4-20.0 39.6-57.2 92.7-106.4 31.1-35.9 33.4-35.4 14.6-17.3 144-449 10.4-12.0
 
 
Male ranges
Age WBC
103/uL
RBC  106/uL HGB g/dL HCT     % MCV   fL MCH   pg MCHC g/dL RDW   % PLT 103/uL MPV   fL
>18 year 3.7-11.0 4.50-6.10 13.4-17.5 38.9-52.0 78-100 26-32 31-35.5 11.5-15.5 150-400 8.7-12.5
12-18 y 3.8-9.8 4.03-5.29 11.0-14.5 33.9-43.5 76.7-89.2 25.2-30.2 31.8-34.8 12.4-14.5 175-332 9.6-11.8
6-12 y 4.3-11.0 3.96-5.03 10.7-13.4 32.2-39.8 74.4-86.1 24.9-29.2 32.2-34.9 12.3-14.1 206-369 9.2-11.4
2-6y 5.1-13.4 3.89-4.97 10.2-12.7 31.0-37.7 71.3-84.0 23.7-28.3 32.0-34.7 12.5-14.9 202-403 9.0-10.9
181 day -2y 6.0-13.5 4.03-5.07 10.1-12.5 30.8-37.8 69.5-81.7 22.7-27.2 31.6-34.4 12.9-15.6 206-445 8.7-10.5
61d-180 day 6.5-13.3 3.43-4.80 9.6-12.4 28.6-37.2 74.1-87.5 24.4-28.9 31.9-34.4 12.4-15.3 244-529 8.9-10.6
31 d- 60 day 8.1-15.0 3.02-4.22 8.9-12.7 26.8-37.5 84.3-94.2 27.8-32.0 32.3-34.8 13.8-16.1 229-562 9.2-10.8
15d- 30 day 7.8-15.9 3.16-4.63 10.0-15.3 30.5-45.0 89.4-99.7 29.9-34.1 32.7-35.1 14.3-16.8 248-586 10.1-12.1
0-14 day 8.0-15.4 4.10-5.55 13.9-19.1 39.8-53.6 91.3-103.1 31.3-35.6 33.0-35.7 14.8-17.0 218-419 10.2-11.9
 
 Female Ranges
Age NEUT
103/uL
LYMPH
103/uL
MONO
103/uL
EOS
103/uL
BASO
103/uL
NRBC   % PER 100 WBC NRBC  103/uL       
>18 year 1.50-7.70 1.00-4.80 0.2-1.10 0.02-0.50 0.0-0.2 0-0.2 0-0.12
 
     
12-18 y 1.8-7.5 1.2-3.3 0.2-0.7 0.0-0.3 0.0-0.2          
6-12 y 1.60-7.9 1.2-4.3 0.2-0.8 0.0-0.5 0.0-0.2          
2-6y 1.6-8.3 1.3-5.8 0.2-0.9 0.0-0.5 0.0-0.2          
181 day -2y 1.3-7.2 1.5-8.1 0.3-1.1 0.0-0.6 0.0-0.2          
61d-180 day 1.0-7.2 2.1-9.0 0.2-1.2 0.0-0.7 0.0-0.2          
31 d- 60 day 1.0-4.7 2.3-9.1 0.3-1.2 0.0-0.6 0.0-0.2          
15d- 30 day 1.2-4.8 2.4-8.2 0.4-1.2 0.1-0.8 0.0-0.2          
0-14 day 1.7-6.8 1.8-8.0 0.6-1.7 0.1-0.6 0.0-0.2          
4D-18Y           0.0-0.2 0-0.15      
1-3 Days           0.1-8.3 0.06-1.30      
 
 
 Male Ranges
Age NEUT
103/uL
LYMPH
103/uL
MONO
103/uL
EOS
103/uL
BASO
103/uL
NRBC   % PER 100 WBC NRBC  103/uL       
>18 year 1.50-7.70 1.00-4.80 0.2-1.10 0.02-0.50 0.0-0.2 0-0.2 0-0.12
 
     
12-18 y 1.5-7.0 1.0-3.3 0.2-0.8 0.0-0.4 0.0-0.2          
6-12 y 1.6-7.6 1.0-4.0 0.2-0.9 0.0-0.5 0.0-0.2          
2-6y 1.5-7.9 1.1-5.5 0.2-0.9 0.0-0.5 0.0-0.2          
181 day -2y 1.2-7.2 1.6-7.8 0.3-1.2 0.0-0.8 0.0-0.2          
61d-180 day 1.0-5.5 2.5-8.9 0.3-1.1 0.0-0.6 0.0-0.2          
31 d- 60 day 0.8-4.2 2.5-8.0 0.3-1.1 0.1-0.6 0.0-0.2          
15d- 30 day 1.2-5.5 2.1-8.4 0.3-1.4 0.1-0.8 0.0-0.2          
0-14 day 1.6-6.1 2.1-7.5 0.5-1.8 0.1-0.7 0.0-0.2          
4D-18Y           0.0-0.2 0-0.15      
1-3 Days           0.1-8.3 0.06-1.30      


Performing Laboratory
West Virginia University Hospital, Inc.



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.