OB PANEL+HIV

Test Code
OBPNL+HIV


CPT Codes
80081

Includes
"WBC,BLOOD
RBC,BLOOD
HEMOGLOBIN
HEMATOCRIT
MCV
MCH
MCHC
RDW
PLATELET COUNT
NUCLEATED RBC
COMMENT
NEUT SEGS & BANDS %
LYMPHOCYTES %
MONOCYTES %
EOSINOPHILS %
BASOPHILS %
NEUT SEGS & BANDS #
LYMPHOCYTES #
MONOCYTES #
EOSINOPHIL #
BASOPHIL #
HIV 1/2 AG/AB COMBINED,S
HEPATITIS B SURFACE ANTIGEN,S
RAPID PLASMA REAGIN,SERUM
RUBELLA AB SCREEN IGG,S
"


Minimum Volume
See Transport Container for information


Transport Container
"1 RED
Sample Type: Serum
Minimum Volume: 1 mL
2 LAVENDER
Sample Type: Plasma
Minimum Volume: 2 mL
"


Reference Range
"Test: WBC,BLOOD
Male/Female Ages >=0 Days - <1 Day:
Normal Range: 9.0-30.0 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=1 Day - <4 Days:
Normal Range: 9.0-35.0 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=4 Days - <7 Days:
Normal Range: 5.0-21.0 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=7 Days - <2 Months:
Normal Range: 5.0-20.0 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=2 Months - <6 Months:
Normal Range: 5.5-18.0 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=6 Months - <1 Year:
Normal Range: 6.0-17.5 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=1 Year - <3 Years:
Normal Range: 6.0-17.0 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=3 Years - <6 Years:
Normal Range: 5.5-15.5 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=6 Years - <10 Years:
Normal Range: 4.5-14.5 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=10 Years - <15 Years:
Normal Range: 4.5-13.5 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=15 Years - <20 Years:
Normal Range: 4.5-12.5 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Male/Female Ages >=20 Years:
Normal Range: 3.4-10.3 TH/UL
Critical Low : <=1.5 TH/UL
Critical High : >=35.0 TH/UL

Test: RBC,BLOOD
Female Ages >=0 Days - <1 Day:
Normal Range: 5.00-6.30 MIL/UL

Female Ages >=1 Day - <14 Days:
Normal Range: 4.10-6.10 MIL/UL

Female Ages >=14 Days - <2 Months:
Normal Range: 3.80-5.60 MIL/UL

Female Ages >=2 Months - <16 Years:
Normal Range: 3.80-5.20 MIL/UL

Female Ages >=16 Years:
Normal Range: 3.76-5.30 MIL/UL

Male Ages >=0 Days - <1 Day:
Normal Range: 5.00-6.30 MIL/UL

Male Ages >=1 Day - <14 Days:
Normal Range: 4.10-6.10 MIL/UL

Male Ages >=14 Days - <2 Months:
Normal Range: 3.80-5.60 MIL/UL

Male Ages >=2 Months - <16 Years:
Normal Range: 3.80-5.20 MIL/UL

Male Ages >=16 Years:
Normal Range: 4.20-5.80 MIL/UL

Test: HEMOGLOBIN
Female Ages >=0 Days - <7 Days:
Normal Range: 14.0-24.0 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=25.0 g/dL

Female Ages >=7 Days - <14 Days:
Normal Range: 12.9-20.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=25.0 g/dL

Female Ages >=14 Days - <2 Months:
Normal Range: 10.7-17.3 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=25.0 g/dL

Female Ages >=2 Months - <6 Months:
Normal Range: 10.1-14.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Female Ages >=6 Months - <1 Year:
Normal Range: 10.0-13.2 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Female Ages >=1 Year - <3 Years:
Normal Range: 10.0-13.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Female Ages >=3 Years - <6 Years:
Normal Range: 10.5-14.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Female Ages >=6 Years - <11 Years:
Normal Range: 10.9-14.9 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Female Ages >=11 Years - <16 Years:
Normal Range: 11.4-15.4 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Female Ages >=16 Years:
Normal Range: 12.1-15.7 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Male Ages >=0 Days - <7 Days:
Normal Range: 14.0-24.0 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=25.0 g/dL

Male Ages >=7 Days - <14 Days:
Normal Range: 12.9-20.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=25.0 g/dL

Male Ages >=14 Days - <2 Months:
Normal Range: 10.7-17.3 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=25.0 g/dL

Male Ages >=2 Months - <6 Months:
Normal Range: 10.1-14.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Male Ages >=6 Months - <1 Year:
Normal Range: 10.0-13.2 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Male Ages >=1 Year - <3 Years:
Normal Range: 10.0-13.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Male Ages >=3 Years - <6 Years:
Normal Range: 10.5-14.5 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Male Ages >=6 Years - <11 Years:
Normal Range: 10.9-14.9 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Male Ages >=11 Years - <16 Years:
Normal Range: 11.4-15.4 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Male Ages >=16 Years:
Normal Range: 13.3-17.3 g/dL
Critical Low : <=7.0 g/dL
Critical High : >=20.0 g/dL

Test: HEMATOCRIT
Female Ages >=0 Days - <4 Days:
Normal Range: 51.0-68.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Female Ages >=4 Days - <7 Days:
Normal Range: 42.0-62.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Female Ages >=7 Days - <14 Days:
Normal Range: 39.0-59.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Female Ages >=14 Days - <2 Months:
Normal Range: 33.0-51.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Female Ages >=2 Months - <1 Year:
Normal Range: 30.0-39.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Female Ages >=1 Year - <3 Years:
Normal Range: 30.0-40.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Female Ages >=3 Years - <6 Years:
Normal Range: 32.0-42.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Female Ages >=6 Years - <11 Years:
Normal Range: 33.0-44.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Female Ages >=11 Years - <16 Years:
Normal Range: 34.0-45.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Female Ages >=16 Years:
Normal Range: 34.9-46.1 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Male Ages >=0 Days - <4 Days:
Normal Range: 51.0-68.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Male Ages >=4 Days - <7 Days:
Normal Range: 42.0-62.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Male Ages >=7 Days - <14 Days:
Normal Range: 39.0-59.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Male Ages >=14 Days - <2 Months:
Normal Range: 33.0-51.0 %
Critical Low : <=15.0 %
Critical High : >=75.0 %

Male Ages >=2 Months - <1 Year:
Normal Range: 30.0-39.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Male Ages >=1 Year - <3 Years:
Normal Range: 30.0-40.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Male Ages >=3 Years - <6 Years:
Normal Range: 32.0-42.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Male Ages >=6 Years - <11 Years:
Normal Range: 33.0-44.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Male Ages >=11 Years - <16 Years:
Normal Range: 34.0-45.0 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Male Ages >=16 Years:
Normal Range: 38.9-50.5 %
Critical Low : <=15.0 %
Critical High : >=60.0 %

Test: MCV
Male/Female Ages >=0 Days - <7 Days:
Normal Range: 95.0-125.0 FL

Male/Female Ages >=7 Days - <14 Days:
Normal Range: 88.0-115.0 FL

Male/Female Ages >=14 Days - <2 Months:
Normal Range: 80.0-112.0 FL

Male/Female Ages >=2 Months - <6 Months:
Normal Range: 70.0-98.0 FL

Male/Female Ages >=6 Months - <3 Years:
Normal Range: 70.0-90.0 FL

Male/Female Ages >=3 Years - <6 Years:
Normal Range: 74.0-94.0 FL

Male/Female Ages >=6 Years - <11 Years:
Normal Range: 76.0-96.0 FL

Male/Female Ages >=11 Years - <16 Years:
Normal Range: 78.0-98.0 FL

Male/Female Ages >=16 Years:
Normal Range: 82.0-99.6 FL

Test: MCH
Male/Female All Ages:
Normal Range: 28.0-32.0 pg

Test: MCHC
Male/Female All Ages:
Normal Range: 32.0-37.0 g/dL

Test: RDW
Male/Female All Ages:
Normal Range: 11.5-14.5 %

Test: PLATELET COUNT
Male/Female All Ages:
Normal Range: 140-440 TH/UL
Critical Low : <=30 TH/UL
Critical High : >=1000 TH/UL

Test: NUCLEATED RBC
Male/Female All Ages:
Normal Range: 0-0 #/100

Test: COMMENT

See report for normal ranges.

Test: NEUT SEGS & BANDS %
Female Ages >=0 Days - <4 Days:
Normal Range: 41.0-81.0 %

Female Ages >=4 Days - <7 Days:
Normal Range: 30.0-60.0 %

Female Ages >=7 Days - <15 Days:
Normal Range: 25.0-55.0 %

Female Ages >=15 Days - <6 Months:
Normal Range: 20.0-50.0 %

Female Ages >=6 Months - <3 Years:
Normal Range: 15.0-40.0 %

Female Ages >=3 Years - <6 Years:
Normal Range: 25.0-55.0 %

Female Ages >=6 Years - <11 Years:
Normal Range: 38.0-67.0 %

Female Ages >=11 Years - <16 Years:
Normal Range: 40.0-69.0 %

Female Ages >=16 Years:
Normal Range: 35.0-79.0 %

Male Ages >=0 Days - <4 Days:
Normal Range: 41.0-81.0 %

Male Ages >=4 Days - <7 Days:
Normal Range: 30.0-60.0 %

Male Ages >=7 Days - <15 Days:
Normal Range: 25.0-55.0 %

Male Ages >=15 Days - <6 Months:
Normal Range: Not Applicable

Male Ages >=6 Months - <3 Years:
Normal Range: 15.0-40.0 %

Male Ages >=3 Years - <6 Years:
Normal Range: 25.0-55.0 %

Male Ages >=6 Years - <11 Years:
Normal Range: 38.0-67.0 %

Male Ages >=11 Years - <16 Years:
Normal Range: 40.0-69.0 %

Male Ages >=16 Years:
Normal Range: 35.0-79.0 %

Test: LYMPHOCYTES %
Male/Female Ages >=0 Days - <1 Day:
Normal Range: 26.0-36.0 %

Male/Female Ages >=1 Day - <4 Days:
Normal Range: 21.0-41.0 %

Male/Female Ages >=4 Days - <7 Days:
Normal Range: 31.0-51.0 %

Male/Female Ages >=7 Days - <15 Days:
Normal Range: 33.0-63.0 %

Male/Female Ages >=15 Days - <2 Months:
Normal Range: 41.0-71.0 %

Male/Female Ages >=2 Months - <6 Months:
Normal Range: 44.0-74.0 %

Male/Female Ages >=6 Months - <1 Year:
Normal Range: 47.0-77.0 %

Male/Female Ages >=1 Year - <3 Years:
Normal Range: 44.0-74.0 %

Male/Female Ages >=3 Years - <6 Years:
Normal Range: 35.0-65.0 %

Male/Female Ages >=6 Years - <10 Years:
Normal Range: 25.0-54.0 %

Male/Female Ages >=10 Years - <16 Years:
Normal Range: 28.0-48.0 %

Male/Female Ages >=16 Years:
Normal Range: 10.0-47.0 %

Test: MONOCYTES %
Male/Female Ages >=0 Days - <2 Years:
Normal Range: 5.0-10.0 %

Male/Female Ages >=2 Years - <16 Years:
Normal Range: 0-5.0 %

Male/Female Ages >=16 Years:
Normal Range: 2.0-13.0 %

Test: EOSINOPHILS %
Male/Female All Ages:
Normal Range: 0-6.0 %

Test: BASOPHILS %
Male/Female All Ages:
Normal Range: 0-2.0 %

Test: NEUT SEGS & BANDS #
Male/Female All Ages:
Normal Range: 3.02-6.35 TH/UL
Critical Low : <=0.50 TH/UL

Test: LYMPHOCYTES #
Male/Female Ages >=0 Days - <6 Months:
Normal Range: 2.00-11.00 TH/UL

Male/Female Ages >=6 Months - <1 Year:
Normal Range: 1.40-22.00 TH/UL

Male/Female Ages >=1 Year - <3 Years:
Normal Range: 2.00-17.00 TH/UL

Male/Female Ages >=3 Years - <10 Years:
Normal Range: 1.50-8.50 TH/UL

Male/Female Ages >=10 Years - <15 Years:
Normal Range: 1.50-6.50 TH/UL

Male/Female Ages >=15 Years - <16 Years:
Normal Range: 1.50-5.00 TH/UL

Male/Female Ages >=16 Years - <50 Years:
Normal Range: 0.70-4.00 TH/UL

Male/Female Ages >=50 Years:
Normal Range: 0.70-4.00 TH/UL

Test: MONOCYTES #
Male/Female Ages >=0 Days - <3 Years:
Normal Range: 0.00-2.40 TH/UL

Male/Female Ages >=3 Years - <16 Years:
Normal Range: 0.00-0.80 TH/UL

Male/Female Ages >=16 Years:
Normal Range: 0.00-0.90 TH/UL

Test: EOSINOPHIL #
Male/Female All Ages:
Normal Range: 0.00-0.42 TH/UL

Test: BASOPHIL #
Male/Female All Ages:
Normal Range: 0.00-0.26 TH/UL

Test: HIV 1/2 AG/AB COMBINED,S
Male/Female Ages >=0 Days - <2 Years:
Normal: NEGATIVE
Positive (Reported as SEE COMMENT)
Male/Female Ages >=2 Years - <3 Years:
Normal: NEGATIVE
Positive (Reported as SEE COMMENT)
Male/Female Ages >=3 Years:
Normal: NEGATIVE
Positive (Reported as SEE COMMENT)


Test: HEPATITIS B SURFACE ANTIGEN,S
Male/Female All Ages:
Normal: NONREACTIVE
Positive (Reported as Nonreactive, REACTIVE-PEND CONFIR, REACTIVE-PREV CONFIR)


Test: RAPID PLASMA REAGIN,SERUM
Male/Female Ages >=0 Days - <8 Days:
Normal: NONREACTIVE
Positive (Reported as REACTIVE)
Male/Female Ages >=8 Days - <12 Years:
Normal: NONREACTIVE
Positive (Reported as REACTIVE)
Male/Female Ages >=12 Years:
Normal: NONREACTIVE
Positive (Reported as REACTIVE)


Test: RUBELLA AB SCREEN IGG,S
Male/Female All Ages:
Normal: IMMUNE
Positive (Reported as NOT IMMUNE)


"




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.