CBC w/ auto diff (PRISMA HEALTH)

Test Code
1230101636


Alias/See Also
LAB293: CBC w/Differential
LAB342: Helper T Cell Panel with CBC
LAB550: Prenatal Panel with No HIV
LAB1748: CBC w/Differential
LAB3004: Immunodeficiency Panel (IDP) with CBC
LAB4108: Prenatal with HIV
LAB3038: CD4/CD8 Total Ratio with CBC, Blood (UPSTATE)
LAB8025:
LAB8026:
LAB99249: CBC/Diff Ambiguous Default
LAB5515: Pre-Operative Anemia Screen
LAB2067: T Cell Helper/Suppressor | CBC W/ DIFF|CBC AUTO DIFF|HDIFF


CPT Codes
85025x1

Preferred Specimen
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
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: 2
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: 2
BEH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
BEH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 2
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: 2
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: 2
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: 2
RHC HOSPITAL LAB CENTRAL: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
RHC HOSPITAL LAB CENTRAL: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 2
BCH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
BCH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 2
BPH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
BPH HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 2
THL HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .2
THL HOSPITAL LAB: LT BLUE TOP AND LAVENDER TOP: (Refrigerated) Min Vol: 2


Instructions
For children and patients weighing less than 100 pounds, refer to the glucose tolerance dosage chart for the appropriate Glucose dose. Adult: Minimum 2.5 mL blood *Pediatric minimum: 1 full microtainer* Capillary Specimens are not recommended. Each sample should be collected in the same type collection tube.


Transport Temperature
Upstate: Freshly drawn serum or plasma is the preferred specimen. Acceptable anticoagulants are lithium heparin and potassium oxalate/sodium fluoride. The use of fluoride as a glycolysis inhibitor is recommended. Whole blood specimens collected in the potassium oxalate/sodium fluoride grey top tube are stable for 24 hours unspun. Tubes of blood are to be kept closed at all times and in a vertical position. It is required that the serum or plasma be physically separated from contact with cells within two hours from the time of collection. Separated specimens are stable for 2 days at 20 to 25°C, 7 days at 2 to 8°C, or 1 day at -20°C or colder. Stored specimens must be inspected for particulates. If present, mix and centrifuge the specimen to remove particulates prior to testing. (Glucose in whole blood stored at room temperature is metabolized at a rate of approximately 5% per hour). Midlands: Freshly drawn serum or plasma is the preferred specimen. Acceptable anticoagulant is lithium heparin. Tubes of blood are to be kept closed at all times and in a vertical position. It is required that the serum or plasma be physically separated from contact with cells within two hours from the time of collection. Separated specimens are stable for 2 days at 20 to 25°C, 7 days at 2 to 8°C, or 1 day at -20°C or colder. Stored specimens must be inspected for particulates. If present, mix and centrifuge the specimen to remove particulates prior to testing. (Glucose in whole blood stored at room temperature is metabolized at a rate of approximately 5% per hour).


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



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.