Complete Blood Count (CBC) Without Differential, Blood

Test Code

CBCND

Alias/See Also

CBC

CPT Codes
85027

Preferred Specimen

Draw blood in a lavender-top (EDTA) tube, and send 3 mL (minimum volume: 1 mL) of blood.

Transport Temperature

Refrigerated or Ambient

Specimen Stability

Refrigeration preferred. May be stored at room temperature up to 24 hours.

Methodology
Sysmex XE-5000

Setup Schedule

Monday through Sunday

Reference Range

WBC

TEST	UNITS	AGE	MALE	FEMALE
WBC	K/µl	0-14 days	8.04-15.40	8.16-14.56
		15-30 days	7.8-15.91	8.36-14.42
		31-60 days	8.14-14.99	7.05-14.68
		61-180 days	6.51-13.32	6.00-13.25
		6 months-<2 yrs	5.98-13.51	6.48-13.02
		2-9 yrs	4.0-12.0	4.0-12.0
		9-17 yrs	4.0-10.5	4.0-10.5
		17-127 yrs	5.0-10.0	5.0-10.0

Critical values

Newborns (0-28 days): ≤5.0 K/µL or ≥40.0 K/µL

Pediatrics (29 days-12 years): ≤3.5 K/µL or ≥40.0 K/µL

Pre-Op patients (≥13 years): <2.0 K/µL or >35.0 K/µL

All others (≥13 years): <2.0 K/µL or >35.0 K/µL
RBC

TEST	UNITS	AGE	MALE	FEMALE
RBC	M/µl	0-14 days	4.10-5.55	4.12-5.74
		15-30 days	3.16-4.63	3.32-4.80
		31-60 days	3.02-4.22	2.93-3.87
		61-180 days	3.43-4.80	3.45-4.75
		6 months-<2 yrs	4.03-5.07	3.97-5.01
		2-9 yrs	4.0-5.3	4.0-5.3
		9-17 yrs	4.2-5.6	4.1-5.3
		17-127 yrs	4.5-6.0	4.0-5.5

HEMOGLOBIN

TEST	UNITS	AGE	MALE	FEMALE
Hemoglobin	g/dL	0-14 days	13.9-19.1	13.4-20
		15-30 days	10.0-15.3	10.8-14.6
		31-60 days	8.9-12.7	9.2-11.4
		61-180 days	9.6-12.4	9.9-12.4
		6 months-<2 yrs	10.1-12.5	10.2-12.7
		2-9 yrs	11.5-14.5	11.5-14.5
		9-17 yrs	12.5-16.1	12.0-15.0
		17-127 yrs	14-18	12.0-16.0

Critical values

Newborns (0-28 days): ≤7 g/dL or ≥23 g/dL

Pediatrics (29 days-12 years): ≤7 g/dL or ≥23 g/dL

Pre-Op patients (≥13 years): <10 g/dL

All others (≥13 years): ≤6.7 g/dL

HEMATOCRIT

TEST	UNITS	AGE	MALE	FEMALE
Hematocrit	%	0-14 days	39.8-53.6	39.6-57.2
		15-30 days	30.5-45.0	32-44.5
		31-60 days	26.8-37.5	27.7-35.1
		61-180 days	28.6-37.2	29.5-37.1
		6 months-<2 yrs	30.8-37.8	30.9-37.9
		2-9 yrs	33-43	33-43
		9-17 yrs	36-47	35-45
		17-127 yrs	42-52	37-47

Critical values

Newborns (0-28 days): ≤26% or ≥65%

Pediatrics (29 days-12 years): ≤20% or ≥70%

Pre-Op patients (≥13 years): <30%

All others (≥13 years): <20%

TEST	UNITS	AGE	MALE	FEMALE
MCV	fL	0-14 days	91.3-103.1	92.7-106.4
		15-30 days	89.4-99.7	90.1-103
		31-60 days	84.3-94.2	83.4-96.4
		61-180 days	74.1-87.5	74.8-88.3
		6 months-<2 yrs	69.5-81.7	91.3-82.6
		2-9 yrs	76-90	76-90
		9-17 yrs	78-95	78-95
		17-127 yrs	82-96	82-96
MCH	PG	0-14 days	31.3-35.6	31.1-35.9
		15-30 days	29.9-34.1	30.4-35.3
		31-60 days	27.8-32	28-32.5
		61-180 days	24.4-28.9	24.4-29.5
		6 months-<2 yrs	22.7-27.2	23.2-27.5
		2-9 yrs	25-31	25-31
		9-17 yrs	26-32	26-32
		17-127 yrs	27-32	27-32
MCHC	%	0-14 days	33-35.7	33.4-35.4
		15-30 days	32.7-35.1	33.2-35
		31-60 days	32.3-34.8	32.5-34.9
		61-180 days	31.9-34.4	32.1-34.4
		6 months-<2 yrs	31.6-34.4	31.9-34.2
		2-127 yrs	32-36	32-36
RDW	%	0-14 days	14.8-17	14.6-17.3
		15-30 days	14.3-16.8	14.4-16.2
		31-60 days	13.8-16.1	13.6-15.8
		61-180 days	12.4-15.3	12.2-14.3
		6 months-<2 yrs	12.9-15.6	12.7-15.1
		2-9 yrs	11.5-15	11.5-15
		9-17 yrs	11.5-14	11.5-14
		17-127 yrs	12-15.4	12-15.4

PLATELET COUNT

TEST	UNITS	AGE	MALE	FEMALE
PLATELETS	K/µl	0-14 days	218-419	144-449
		15-30 days	248-586	279-571
		31-60 days	229-562	331-597
		61-180 days	244-529	247-580
		6 months-<2 yrs	206-445	214-459
		2-9 yrs	150-475	150-475
		9-17 yrs	150-410	150-410
		17-127 yrs	150-400	150-400

Critical values

Newborns (0-28 days): ≤100 K/µL

Pediatrics (29 days-12 years): ≤50 K/µL

Pre-Op patients (≥13 years): <100 K/µL or >800 K/µL

All others (≥13 years): <30 K/µL or >1,000 K/µL

MPV

TEST	UNITS	AGE	MALE	FEMALE
MPV	fL	0-14 days	10.2-11.9	10.4-12
		15-30 days	10.1-12.1	10-12.2
		31-60 days	9.2-10.8	9.4-11.1
		61-180 days	10.9-10.6	9-10.9
		6 months-<2 yrs	8.7-10.5	8.8-10.6
		2-9 yrs	6.2-10.6	6.2-10.6
		9-17 yrs	6.8-11.2	6.8-11.2
		17-127 yrs	9.2-12.8	9.2-12.8

Performed By
North Mississippi Medical Center Pathology Department

Performing Laboratory
NMMC Pathology Department

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.