Hemogram (CBC without Differential)

Test Code

HEMO, HEMO1

Alias/See Also

CBC without differential, CBC, HEMO1

CPT Codes
85027

Includes

WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT

Preferred Specimen

EDTA (LAV)

Minimum Volume

1 mL

Other Acceptable Specimens

Heparinized blood (GRN) may be used for cell counts, but not for differential.
Citrate (BLU) samples may be used for platelet counts and WBC counts (multiply PLT and WBC by 1.11).

Specimen Stability

CBC/Hemogram, differential specimens are stable at room temperature for 24 hours.
Hemogram specimens are stable refrigerated up to 72 hours.

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

Clotted

Setup Schedule

24x7

Reference Range

	Unit of Measure	Reference Range		CRITICAL
WBC	10^3/uL
0-7 DAYS		9.0	30.0
7-14 DAYS		5.0	21.0
14 D-12 M		6.0	17.5
1 YR-16 YR		4.5	13.5
16 YR-ADULT		4.0	11.0
RBC	10^6/uL
0-14 D		4.00	6.00
14 D-60 D		3.80	5.60
60 D-4 Y		3.80	5.20
4 Y - 15 Y		4.00	5.20
15 Y-ADULT F		4.00	5.50
15 Y-Adult M		4.40	6.00
HGB	g/dL
0-14 D		12.5	24.5	<7.9, >30.0
14 D-60 D		10.7	17.3	<6.9, >30.0
60 d-24 month		9.9	14.5	<6.9, >30.0
2 yr-6 yr		10.3	14.9	<6.9, >30.0
6-11 years		10.6	15.2	<6.9, >30.0
15 Y-ADULT F		11.1	15.7	<4.9, >30.0
16 yr-adult F		12.0	16.0	<6, >30 LND <7, >30, D <8,>30
16 yr-adult M		14.0	18.0	<6, >30, D <8,>30
HCT	%
0-14 day		44.0	64.0	<20, >85
14-60 day		35.0	49.0	<20, >85
60 D-4 yrs		30.0	40.0	<20, >85
4-11 yrs		32.0	42.0	<20, >85
11-15 YRS		34.0	44.0	<20, >85
15-Adult F		37.0	47.0	<18, >85
15 yr-Adult M		40.0	54.0	<18, >85
MCV	fl
ALL		80	99
MCH	g/dL
ALL		27.0	34.0
MCHC	g/dL
ALL		30.5	36.5
RDW	%
ALL		11.0	16.0
PLT	10^3/uL
0-3 month		140.0	440.0	<30
3 M - 10 year		140.0	440.0	<50
10-Adult		140.0	440.0	<50.0

Clinical Significance

The complete blood count (CBC) is often used as a broad screening test to determine an individual's general health status. It can be used to:

Screen for a wide range of conditions and diseases
Help diagnose various conditions, such as anemia, infection, inflammation, bleeding disorders, leukemias, and lymphomas.
Monitor the condition and/or effectiveness of treatment after a diagnosis is established
Monitor treatment that is known to affect blood cells, such as chemotherapy or radiation therapy.

Performing Laboratory
CRMC Laboratory
CCMC Laboratory
FHSH Laboratory
CCI 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.