Complete Blood Count (CBC) Automated with Manual Differential, Blood

Test Code

CBCM - NOCO

CPT Codes
85025

Includes

WBC

RBC

HGB

HCT

MCV

MCH

MCHC

RDW-CV

RDW-SD

PLTCT

Absolute Counts

WBC Differential-reported as absolute counts and percentages.

o Includes: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and Immature Granulocytes.

o Automated differential performed. Will reflex to a manual differential when indicated.

Automated Red Blood Cell count.

IPF will be performed if platelet count below the hospital’s reflex cutoff.

Preferred Specimen

3.0 mL whole blood from Lavendar EDTA

Minimum Volume

1.5 mL
0.50 mL (Microtainer EDTA)
Note: For neonate requirements see Neonate Minimum Blood Volumes

Instructions

Do not centrifuge.

Specimen Stability

Temperature	Time
Ambient	24 hours
Refrigerate	48 hours

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

Clotted specimen
Drawn in expired tube
Hemolyzed, icteric, or lipemic
Contaminated

Methodology
Automated, manual differential

Setup Schedule

Monday through Sunday; Continuously

Report Available

Same day

Reference Range

WBC: K/MM³
0-2 weeks M/F: 9.0-34.0
2 weeks-1 month M/F: 5.0-20.0
1 month-2 years M/F: 6.0-17.5
2-10 years M/F: 4.5-13.5
10-18 years M/F: 4.5-13.0
>18 years M/F: 4.0-11.0
Courtesy Notification Limits (automatic call-back):<1.0 K/MM³ or >50.0 K/MM³
Note: Not called if repeat oncology patient.

RBC: M/MM³
0-2 weeks M/F: 4.30-6.30
2 weeks-1 month M/F: 4.30-5.50
1 month-2 years M/F: 3.80-5.40
2-10 years M/F: 4.00-5.30
10-18 years M/F: 4.20-5.60
>18 years M: 4.30-6.00
>18 years F: 3.70-5.40

HEMOGLOBIN: g/dL
0-2 weeks M/F: 14.5-22.5
2 weeks-1 month M/F: 10.0-18.0
1 month-2 years M/F: 9.5-14.0
2-10 years M/F: 11.5-14.5
10-18 years M: 13.0-16.0
10-18 years F: 12.0-15.0
>18 years M: 13.5-17.0
>18 years F: 12.0-16.0
Critical values (automatic call-back): <6.1 g/dL

HEMATOCRIT: %
0-2 weeks M/F: 42-68
2 weeks-1 month M/F: 31-55
1 month-2 years M/F: 32-42
2-10 years M/F: 33-43
10-18 years M: 36-47
10-18 years F: 35-45
>18 years M: 40-53
>18 years F: 35-48
Critical values (automatic call-back): <18.1%

MCV: fL
0-2 days: 104-122
2 days-2 weeks: 86-125
2 weeks-1 month: 85-120
1 month-2 years: 72-88
2-10 years: 76-90
10-18 years: 78-95
>18 years: 78-100

MCH: pg
0-2 days: 35-57
2 days-1 month: 28-40
1 month-2 years: 24-30
2-10 years: 25-31
10-18 years: 26-32
>18 years: 27-34

MCHC: g/dL
31-37

RDW-CV: %
11.0-15.0

RDW-SD: fL
38.0 – 49.0

PLATELET COUNT: K/MM³
130-450
Critical values (automatic call-back): <31 K/MM3 or >1,000 K/MM3
Note: Not called if repeat oncology patient.

CNEUT# / NEUT#: K/uL
0 days – 3 days: 5.0-26.0
3 days – 2 weeks: 1.5-10.0
2 weeks – 1 month: 1.0-9.0
1 month – 2 years: 1.5-8.5
2 years – 10 years: 0.8-8.0
10 years – 18 years: 1.8-8.0
>18 years: 1.5-7.8

LYMPH#: K/uL
0 days – 2 weeks: 2.0-11.5
2 weeks – 1 month: 2.5-16.5
1 month – 2 years: 4.0-10.5
2 years – 10 years: 1.5-6.5
10 years – 18 years: 1.2-5.2
>18 years: 0.9-3.9

MONO#: K/uL
0 days – 3 days: 0.2-3.5
3 days – 2 weeks: 0.3-2.4
2 weeks – 1 month: 0.2-1.4
1 month – 2 years: 0.2-1.0
2 years – 18 years: 0.2-0.9
>18 years: 0.2-1.0

EOS#: K/uL
0 days – 1 month: 0.0-0.9
1 month – 2 years: 0.0-0.7
>2 years: 0.0 – 0.6

BASO#: K/uL
0 days – 1 month: 0.0-0.3
>1 month: 0.0-0.2

IGAB – Immature Granulocyte: K/uL
0.0-0.1

NRBCRE/NUCL RBC - NRBC, Automated: %
0 days – 1 week: ≤10
>1 week: 0

Clinical Significance

Analysis of a Complete Blood Count yields numerical and/or morphologic findings, which are useful in diagnosis of such disease states as anemias, leukemias, and allergic reactions, viral, bacterial, and parasitic infections. CBC – The quantitative and qualitative analysis of the cellular elements of blood will identify imbalance between cell production, cell release, cell survival, or cell loss. This information increases the accuracy and specificity of diagnosis based on pathogenesis and is also used to monitor the effectiveness of therapy. Automated Differential – The Differential distribution of white blood cells, when correlated with absolute white cell count, will identify imbalances between cell production, cell release, cell survival and/or cell loss. This information increases the accuracy and specificity of diagnosis based on pathogenesis and is also used to monitor the effectiveness of therapy.

Results outside of normal value may reflect an underlying disease and should be evaluated in conjunction with the patient’s clinical presentation. Consider additional testing.

Performing Laboratory
Banner Fort Collins Medical Center Laboratory
McKee Medical Center Laboratory
North Colorado Medical Center Laboratory
Summit View Laboratory

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.