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Peripheral Blood Smear Review
Test Code13808
CPT Codes
85008
Preferred Specimen
2 glass microscope slide-peripheral smears submitted in slide holder and client provided (in-house) CBC results
Minimum Volume
1 slide • 1 mL whole blood
Other Acceptable Specimens
4.5 mL whole blood collected in an EDTA (lavender-top) tube and client provided(in-house) CBC results
Instructions
This test cannot be collected at a Patient Service Center.
Make slide immediately. Submit slides with CBC results and clinical history.
Note: Test will be cancelled if CBC results are not provided.
Make slide immediately. Submit slides with CBC results and clinical history.
Note: Test will be cancelled if CBC results are not provided.
Transport Temperature
Room temperature
Specimen Stability
Slide
Room temperature: Indefinitely
Refrigerated: Indefinitely
Frozen: Unacceptable
Whole blood
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis • Clotted • No CBC results and clinical history
Methodology
Microscopic Examination
Setup Schedule
Set up: Mon-Fri; Report available: 3-5 days
Reference Range
Not established
Clinical Significance
To supplement client-performed CBC testing with verification of abnormal results and assessment of morphology to aid in the diagnosis of hematological disorders.
Intended for moderate complexity or waived testing sites that require additional review for instrumentation flagging.
Client must supply in-office CBC test results and either 2 glass slides or Lavender EDTA tube. If no client-performed CBC results are received, test will be cancelled.
The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.
Reference
1. Beckman AK, Ng VL, Jaye DL, et al. Clinician-ordered peripheral blood smears have low reimbursement and variable clinical value: a three-institution study, with suggestions for operational efficiency. Diagn Pathol. 2020;15(1):112. doi:10.1186/s13000-020-01033-8
2. Kurt-Mangold ME, Grieme CV, Krasowski MD, Rosenthal NS. Clinical Utility of Ordered Pathology Blood Smear Reviews - an Overused Resource? Clin Lab. 2018;64(1):99-104. doi:10.7754/Clin.Lab.2017.170703
3. Radke, T. Improving utilization of pathologist reviewed blood films. Today's Clinical Lab. (2024-03-05). Accessed Aug. 8, 2024. https://www.clinicallab.com/improving-utilization-of-pathologist-reviewed-blood-films-27782.
Intended for moderate complexity or waived testing sites that require additional review for instrumentation flagging.
Client must supply in-office CBC test results and either 2 glass slides or Lavender EDTA tube. If no client-performed CBC results are received, test will be cancelled.
The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.
Reference
1. Beckman AK, Ng VL, Jaye DL, et al. Clinician-ordered peripheral blood smears have low reimbursement and variable clinical value: a three-institution study, with suggestions for operational efficiency. Diagn Pathol. 2020;15(1):112. doi:10.1186/s13000-020-01033-8
2. Kurt-Mangold ME, Grieme CV, Krasowski MD, Rosenthal NS. Clinical Utility of Ordered Pathology Blood Smear Reviews - an Overused Resource? Clin Lab. 2018;64(1):99-104. doi:10.7754/Clin.Lab.2017.170703
3. Radke, T. Improving utilization of pathologist reviewed blood films. Today's Clinical Lab. (2024-03-05). Accessed Aug. 8, 2024. https://www.clinicallab.com/improving-utilization-of-pathologist-reviewed-blood-films-27782.
