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Test Code LAB2306 Chemotherapy Hematology Profile

Additional Codes

Test Name in EPIC EPIC Test Code Mnemonic
CHEMO HEME PROF LAB2306 HEMON

 

Methodology

Profile Information:

Absolute Neutrophil Count Mean Corpuscular Volume (MCV)
Hematocrit Platelet Count
Hemoglobin White Blood Cell (WBC) Count

 

Impedance, Direct Current (DC) detection method, and Particle Distribution Analysis (PDA).

 

Specimen Requirements

Specimen Type: Whole blood

Container/Tube: Lavender top (EDTA)

Specimen Volume: 1 mL

Specimen Minimum Volume: 1.0 mL for EDTA tube, 0.3 mL for microtainer

Specimen Transport Temperature

Ambient 24 hours/Refrigerate 48 hours OK/Frozen NO

Day(s) Test Set Up

Monday through Sunday

Performing Laboratory

Minnesota North Dakota Wisconsin
Ada Hospital 52nd Ave Clinic (Fargo) Ashland Clinic
Deer River Hospital Fargo Hospital Hayward Clinic
Duluth Family Medicine Clinic Jamestown Clinic Spooner Clinic
Ely Clinic South University Clinic (Fargo) St. Mary's Hospital - Superior
Fosston Hospital Wahpeton Clinic  
Grand Rapids Clinic West Fargo - The Lights Clinic  
Hibbing Clinic    
Holy Trinity Hospital (Graceville)    
International Falls Clinic    
Moose Lake Hospital    
Northern Pines (Aurora)    
Park Rapids Clinic    
Sandstone Hospital    
SMDC Clinical Lab (Duluth)    
St. Joseph's - Baxter Clinic    
St. Joseph's - Brainerd Clinic    
St. Joseph's Medical Center (Brainerd)    
St. Mary's - Detroit Lakes Hospital    
Virginia Hospital    

Test Classification and CPT Coding

85027

Reference Values

 

TEST AGE ABSOLUTE

%

WBC:

0 – 14 days

8.0-15.4 x 109/L

 

 

15 days – 30 days

7.8-15.9

 

 

31 days – 60days

7.1-15.0

 

 

61days – 180 days

6.0-13.3

 

 

0.5 yr – 2 years

5.9-13.5

 

 

2yr-<6yr

4.8-13.3

 

 

6yr-<12yr

4.3-11.4

 

 

12yr-<18yr

3.8-9.8

 

 

18 yr – 150 years

3.2-11.0

 

HGB:

0 – 14 days

13.4-20.0 gm/dl

 

 

15 days – 30 days

10.0-15.3

 

 

31 days – 60days

8.9-12.7

 

 

61days – 180 days

9.6-12.4

 

 

0.5 yr – 2 years

10.1-12.7

 

 

2yr-<6yr

10.2-12.7

 

 

6yr-<12yr

10.6-13.4

 

 

12yr-<18yr

10.8-14.5

 

          Male

18 yr – 150 years

12.9-16.9

 

       Female

18 yr – 150 years

11.2-15.5

 

HCT:

0 – 14 days

 

39.6-57.2

 

15 days – 30 days

 

30.5-45.0

 

31 days – 60days

 

26.8-37.5

 

61days – 180 days

 

28.6-37.2

 

0.5 yr – 2 years

 

30.8-37.9

 

2yr-<6yr

 

31.0-37.8

 

6yr-<12yr

 

32.2-39.8

 

12yr-<18yr

 

33.4-43.5

          Male

18 yr – 150 years

 

38.4-49.7

       Female

18 yr – 150 years

 

34.3-46.0

PLT: 0 - <18 years 150 – 450 x 109/L  
  18 yr - 150 years 130 – 375 x 109/L  

MCV:

0 – 14 days

91.3- 106.4 fL

 

 

15 days – 30 days

89.4- 103.0

 

 

31 days – 60 days

83.4- 96.4

 

 

61days – 180 days

74.1-88.3

 

 

0.5 yr – 2 years

69.5-82.6

 

 

2yr-<6yr

71.3-85.0

 

 

6yr-<12yr

74.4-87.6

 

 

12yr-<18yr

76.7-90.6

 

 

18 yrs – 150 years

81.4-99.0

 

NEUTROPHIL:

0 – 14 days

1.6-6.7 x 109/L

 

 

15 days – 30 days

1.2-5.5

 

 

31 days – 60days

0.8-4.7

 

 

61days – 180 days

0.9-7.2

 

 

0.5 yr – 2 years

1.2-7.2

 

 

2yr-<6yr

1.5-8.3

 

 

6yr-<12yr

1.6-7.8

 

 

12yr-<18yr

1.5-7.4

 

 

18 yr – 150 years

1.5-7.6