Complete Blood Count and Platelet with Differential

Test Code
CBCS


CPT Codes
85025

Preferred Specimen
EDTA whole blood.
Note:If platelet clumps are noted in the instrument results and smear, a sodium citrate tube may be requested for result verification. In this instance the Platelet Count will not be reported but an estimate of normal, decreased or increased will be provided.


Instructions
Draw a full, lavender-top (EDTA) tube and send EDTA whole blood.
Stable for 24 hours at room temperature.


Transport Container
Lavender-top (EDTA) tube


Transport Temperature
room temperature


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Clotted blood is not acceptable


Methodology
Coulter impedence

Reference Range
White Blood Cells:
Newborns:                         9.0-30.0 thou/cumm
1 month-1 year:                 5.0-19.5 thou/cumm
2-3 years:                           6.0-17.5 thou/cumm
4-7 years:                           5.5-15.5 thou/cumm
8-13 years:                        4.5-13.5 thou/cumm
>14 years:                         4.5-11.0 thou/cumm
Alarm Values:                   <1.5 thou/cumm or >40.0 thou/cumm

Red Blood Cells:
Newborns:                        4.0-606 mill/cumm
1-5 months:                      3.0-5.4 mill/cumm
6 months-5 years:           3.7-5.3 mill/cumm
6-12 years:                        4.0-5.2 mill/cumm
Male:
13-18 years:                      4.5-5.3 mill/cumm
>19 years:                         4.5-5.9 mill/cumm 
Female:
13-18 years:                     4.1-5.1 mill/cumm
>19 years:                         4.0-5.2 mill/cumm

Hemoglobin:
Newborns:                        14.5-22.5 g/dL
2 months-5 years:            9.0-14.0 g/dL
6-12 years:                        11.5-15.5 g/dL
Male:
13-18 years:                     13.0-16.0 g/dL
>19 years:                         13.5-17.5 g/dL 
Female: 
>13 years:                         12.0-16.0 g/dL
Alarm values:                    <8.0 g/dL or >20.0 g/dL

Hematocrit:
Newborns:                         48.0-72.0%
2 months-5 years:            28.0-42.0%
6-12 years:                         35.0-45.0%
Male:
13-18 years:                       37.0-49.0%
>19 years:                           41.0-53.0% 
Female:
>13 years:                           36.0-46.0%
Alarm values:                     <20.0% or >60.0%

MCV:
0-5 months:                        95-121 FL
6 months-5 years:             70-86 FL
6-12 years:                          77-95 FL
Male:
13-18 years:                       78-98 FL
>19 years:                           80-100 FL
Female:
13-18 years:                       78-102 FL
>19 years:                           80-100 FL

MCH:                                    
0-7 days:                              31-37 pg
1 week-1 month:                28-40 pg
2-5 months:                        26-34 pg
6 months - 2years:            23-31 pg
3-6 years:                            24-30 pg
7-12 years:                          25-33 pg
13-18 years:                       25-35 pg
>19 years:                           26-34 pg

MCHC:                              
0-2 months:                        29-37 g/dL
3 months-2 years:             30-36 g/dL
>3 years:                              31-37 g/dL

RDW:                                   11.5-14.5%

Platelet:
0-2 months:                        84-478 thou/cumm
>3months:                          150-400 thou/cumm
Alarm Value:                       <30 thou/cumm or >1 million

MPV:                                     7.4-10.4 FL
NRBC:
>19 years                            0.0/100WBC's

NEUTROPHILS:               
1 day-1 week:                     32-62%
1 week-1 month:                28-43%
1-6 months:                        19-39%
6 months-2 years:             14-34%
2-6 years:                            12-34%
12-17 years:                        31-61%
17-18 years:                        37-67%
> 18 years:                          40-70%

LYMPHOCYTES:
1 day - 1 week:                    26-36%
1 week-1 month:                 20-50%
1-6 months:                          33-63%
6 months-2 years:              45-75%
2-6 years:                              45-75%
6-12 years:                            35-65%
12-17 years:                          28-48%
17-18 years:                          25-45%
>18 years:                             20-40%

MONOCYTES :
1 day-1 week:                        3-9%
1 week-6 months:                4-12%
6 months-2 years:                3-9%
2-6 years:                               2-8%
6-18 years:                            3- 9%
>18 years:                             1-8%

EOSINOPHILS:
1day-18 years:                      0-3%
>18 years:                              0-5%

BASOPHILS:
1 day-18 years:                     0-2%
>18 years:                              0-1%



Last Updated: February 1, 2011


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.