CBC

Test Code
LAB294


CPT Codes
85027

Includes
WBC, RBC, HGB, HCT, MCV,MCH,MCHC, RDW, PLT, MPV


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
Ambient: 24 hours   Refrigerated: 48 hours


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


Methodology
Sysmex XN10

Setup Schedule
Sunday - Saturday


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


Performing Laboratory
West Virginia University Hospital, Inc.
Bluefield Pavilion Campus
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Camden Clark Medical Center
Fairmont Medical Center
Garrett Regional Medical Center
Harrison Community Hospital
Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hospital Center
Uniontown Hospital
Wetzel County Hospital
Wheeling Hospital




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.