Manual Differential (PRISMA HEALTH)

Test Code

1230101637

Alias/See Also

LAB342: Helper T Cell Panel with CBC
LAB1749: Manual Differential
LAB550: Prenatal Panel with No HIV
LAB293D: CBC w/Differential
LAB4440056: Prenatal Panel
LAB4440057: Prenatal Panel with CBC
LAB3004: Immunodeficiency Panel (IDP) with CBC
LAB4108: Prenatal with HIV
LAB3038: CD4/CD8 Total Ratio with CBC, Blood (UPSTATE)
LAB8025:
LAB8026:
LAB5515: Pre-Operative Anemia Screen
LAB2067: T Cell Helper/Suppressor | CBC MANUAL DIFF|MAN DIFF|CBC MAN DIFF

Preferred Specimen

GMH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
PMH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
OMH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
BEH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
GRMH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
NGH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
HMH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
LCMH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
RHC HOSPITAL LAB CENTRAL: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
BCH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
BPH HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1
THL HOSPITAL LAB: LAVENDER TOP-EDTA (Refrigerated) Min Vol: 1

Other Acceptable Specimens

GMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: 1
GMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
GMH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
PMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: 1
PMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
PMH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
OMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: 1
OMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
OMH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
BEH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: 1
BEH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
BEH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
GRMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: 1
GRMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
GRMH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
HMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: 1
HMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
HMH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
LCMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: 1
LCMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
LCMH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
RHC HOSPITAL LAB CENTRAL: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
RHC HOSPITAL LAB CENTRAL: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
BCH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
BCH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
BPH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
BPH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1
THL HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
THL HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 1

Report Available

GMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

PMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

OMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

BEH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

GRMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

HMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

LCMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

RHC HOSPITAL LAB CENTRAL
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

BCH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

BPH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

THL HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

Last Updated: March 6, 2023

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.