Hemogram & Platelets

Message

Performing Lab: All Sites

Test Code

3114

Alias/See Also

Sunquest: HEMPL; CBC with platelets, Complete Blood Count

CPT Codes
85027

Includes

Hemoglobin; White Blood Count; Platelet Count

Preferred Specimen

4.0 mL EDTA Whole Blood (lavender-top) tube

Minimum Volume

1.0 mL - tube
250uL- microtainer

Other Acceptable Specimens

EDTA (pink-top), EDTA microtainer

Instructions

To order individual parameters use: HEHGB (Hemoglobin); HEHCT (Hematocrit); HEWBC (White Blood Count); HEPLT (Platelets)

Transport Temperature

Refrigerated

Specimen Stability

Refrigerated: 48 hours
HP Clinics & Lakeview: 24 hours

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

Clotted, Hemolyzed

Methodology
Automated

Setup Schedule

Hospital: Daily
Clinics: Monday - Friday

Report Available

Same Day

Limitations

HP Clinics: CG, HI, NK, & NSFPLL NSFPRV perform Hemoglobin and White Blood Count only

Reference Range

Hemogram & Platelets
White Blood cells (WBC)	Age	Reference Range		Critical
	16 Years	4.0 - 11.0 k/µl		<1.0 k/µl or >50.0 k/µl
	8 Years	4.5 - 13.5 k/µl
	6 Years	5.0 - 14.5 k/µl
	2 Year	6.0 - 17.0 k/µl
	1 Month	5.0 - 19.5 k/µl
	7 Days	5.0 - 21.0 k/µl
	Newborn	9.0 - 30.0 k/µl
Red Blood Cells (RBC)	Age	Reference Range (Male)	Reference Range (Female)	Critical
	18 Years	4.5 - 5.9 M/μl	4.0 - 5.2 M/μl	None
	12 Years	4.5 - 5.3 M/μl	4.1 - 5.1 M/μl
	6 Years	4.0 - 5.2 M/μl	4.0 - 5.2 M/μl
	2 Years	3.9 - 5.3 M/μl	3.9 - 5.3 M/μl
	1 Month	3.0 - 5.4 M/μl	3.0 - 5.4 M/μl
	Newborn	4.0 - 6.6 M/μl	4.0 - 6.6 M/μl
Hemoglobin (HGB)	Age	Reference Range (Male)	Reference Range (Female)	Critical
	18 Years	13.5 - 17.5 g/dL	12.0 - 16.0 g/dL	<7.0 g/dL
	12 Years	13.0 - 16.0 g/dL	12.0 - 16.0 g/dL
	6 Years	11.5 - 15.5 g/dL	11.5 - 15.5 g/dL
	2 Years	11.5 - 13.5 g/dL	11.5 - 13.5 g/dL
	1 Month	10.0 - 18.0 g/dL	10.0 - 18.0 g/dL
	7 Days	13.5 - 21.5 g/dL	13.5 - 21.5 g/dL
	Newborn	14.5 - 22.5 g/dL	14.5 - 22.5 g/dL
Hematocrit (HCT)	Age	Reference Range (Male)	Reference Range (Female)	Critical
	18 Years	41.0 - 53.0 %	36.0 - 46.0 %	None
	12 Years	37.0 - 49.0 %	36.0 - 46.0 %
	6 Years	35.0 - 45.0 %	35.0 - 45.0 %
	2 Years	34.0 - 40.0 %	34.0 - 40.0 %
	1 Month	31.0 - 55.0 %	31.0 - 55.0 %
	Newborn	45.0 - 67.0 %	45.0 - 67.0 %
MCV	Age	Reference Range		Critical
	18 Years	80 - 100 fL		None
	12 Years	78 - 98 fL
	6 Years	77 - 95 fL
	2 Years	75 - 87 fL
	2 Months	77 - 104 fL
	Newborn	98 - 118 fL
MCH	Age	Reference Range		Critical
	18 Years	26 - 34 pg		None
	12 Years	25 - 35 pg
	6 Years	25 - 33 pg
	2 Years	24 - 30 pg
	2 Months	26 - 34 pg
	Newborn	31 - 37 pg
MCHC	Age	Reference Range		Critical
	All ages	32 - 36 g/dL		None
RDW	Age	Reference Range		Critical
	16 Years	11.5 - 14.5 %		None
	12 Years	11.5 - 14.0 %
	2 Years	11.5 - 15.0 %
	1 Month	11.5 - 16.0 %
	Newborn	13.0 - 18.0 %
Platelets	Age	Reference Range		Critical
	All ages	150 - 450 k/µl		<40 k/µl or >1,000 k/µl

Clinical Significance

Screening tool to confirm a hematologic disorder, establish or rule out a diagnosis. Detection of unsuspected hematologic disorders.

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.