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HelpTest Code LABCBCAR Hemogram with Differential, Reflex to Anaplasma (Ehrlichia) Smear, if Indicated
Additional Codes
| Test Name in EPIC | EPIC Test Code | Mnemonic |
|---|---|---|
| CBCWD W/REFLEX TO ANAPLASMA SMEAR | LABCBCAR | CBCAR |
Methodology
Hemogram with Differential
Impedance, Direct Current (DC) detection method, and Particle Distribution Analysis (PDA).
Includes WBC, RBC, hemoglobin, hematocrit, platelets, RDW, MCV, MCH, and MCHC, and a differential (neutrophil, lymphocytes, monocytes, eosinophils, basophils, and Immature grans)
Anaplasma (Ehrlichia) Smear
Microscopic Examination of Stained Buffy Coat Slides
Reflex Information:
If WBC <4 or PLT <150, an anaplasma (Ehrlichia) smear will be performed.
Specimen Requirements
EDTA whole blood and smears are required.
Specimen Type: Whole blood
Container/Tube: Lavender top (EDTA)
Specimen Minimum Volume: 1 mL
Additional Information:
1. Include a copy of hemogram results.
2. See Ehrlichia Smears in Special Instructions for examples of properly made slides.
Specimen Type: Smears
Container/Tube: Slide container
Specimen Volume: 12 smears
Collection Instructions:
1. Draw blood in a lavender-top (EDTA) tube
2. Prepare 6 peripheral smears (labeled as peripheral smears) and 6 buffy coat smears (labeled as buffy coat smears).
3. Prepare buffy coat smears as follows:
a. Spin down a small portion of EDTA whole blood.
b. Pipet buffy coat along with a small portion of plasma and make 6 smears.
c. Label these smears as buffy coat smears.
Additional Information:
1. Include a copy of hemogram results.
2. See Ehrlichia Smears in Special Instructions for examples of properly made slides.
Specimen Transport Temperature
Ambient 24 hours/Refrigerate 48 hours OK/Frozen NO
If manual differential is required, slides must be made within 8 hours of collection.
Buffy Coat smears should be made within 4 hours if possible and no longer than 8 hours after collection.
Day(s) Test Set Up
Monday through Sunday (day shift only)
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 | Mid Dakota Clinic 9th Street (Bismarck) | St. Mary's Hospital - Superior |
| Fosston Hospital | Mid Dakota Clinic Gateway (Bismarck) | |
| Grand Rapids Clinic | Mid Dakota Clinic Kirkwood (Bismarck) | |
| Hibbing Clinic | South University Clinic (Fargo) | |
| Holy Trinity Hospital (Graceville) | Wahpeton Clinic | |
| International Falls Clinic | West Fargo - The Lights 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
85025-Hemogram with Differential
87207-Anaplasma (Ehrlichia) Smears
Reference Values
Anaplasma = Negative (reported as positive or negative)-Anaplasma (Ehrlichia) Smears
| 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 – 150 years |
130 – 375 x 109/L |
|
|
RBC: |
0 – 14 days |
4.10-5.74x 1012/L |
|
|
|
15 days – 30 days |
3.16-4.80 |
|
|
|
31 days – 60days |
2.93-4.22 |
|
|
|
61days – 180 days |
3.43-4.80 |
|
|
|
0.5 yr – 2 years |
3.97-5.07 |
|
|
|
2yr-<6yr |
3.84-4.97 |
|
|
|
6yr-<12yr |
3.90-5.03 |
|
|
|
12yr-<18yr |
3.93-5.29 |
|
|
Male |
18 yr – 150 years |
4.14-5.76 |
|
|
Female |
18 yr – 150 years |
3.77-5.24 |
|
|
RDW: |
0-14Days |
|
14.6-17.3 |
|
|
15-30 days |
|
14.3-16.8 |
|
|
31-60 days |
|
13.6-16.1 |
|
|
61days – 150 years |
|
11.3-14.6 |
|
MCV: |
0 – 14 days |
91.3- 106.4 fL |
|
|
|
15 days – 30 days |
89.4- 103.0 |
|
|
|
31 days – 60days |
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 |
|
|
MCH: |
0 – 14days |
31.3-35.9 pg |
|
|
|
15 days-30 days |
29.9-35.3 |
|
|
|
31days -60 days |
27.8-32.5 |
|
|
|
61days- 150 years |
26.7-33.1 |
|
|
MCHC: |
0 – 14days |
33.0-35.7 |
|
|
|
15 days-30 days |
32.7-35.1 |
|
|
|
31days -60 days |
32.3-34.8 |
|
|
|
60days – 150 years |
31.6 –35.5 gm/dl |
|
|
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 |
|
|
LYMPH: |
0 – 14 days |
1.7-8.0 x 109/L |
|
|
|
15 days – 30 days |
2.1-8.3 |
|
|
|
31 days – 60days |
2.3-9.1 |
|
|
|
61days – 180 days |
2.1-8.9 |
|
|
|
0.5 yr – 2 years |
1.5-7.8 |
|
|
|
2yr-<6yr |
1.1-5.7 |
|
|
|
6yr-<12yr |
0.9-4.2 |
|
|
|
12yr-<18yr |
0.9-3.3 |
|
|
|
18 yr – 150 years |
0.8-3.3 |
|
|
MONOCYTES: |
0 – 14 days |
0.5-1.7x 109/L |
|
|
|
15 days – 30 days |
0.2-1.4 |
|
|
|
31 days – 60days |
0.2-1.2 |
|
|
|
61days – 180 days |
0.2-1.1 |
|
|
|
0.5 yr – 2 years |
0.2-1.1 |
|
|
|
2yr-<6yr |
0.2-0.9 |
|
|
|
6yr-<12yr |
0.1-0.8 |
|
|
|
12yr-<18yr |
0.1-0.7 |
|
|
|
18 yr – 150 years |
0.2-0.9 |
|
|
EOSINOPHILS: |
0 – 1 month |
0.1 – 0.8 x 109/L |
|
|
|
1 mo – 150 years |
0.0-0.4 |
|
|
BASOPHILS: |
0 – <18 years |
0 – 0.1 x 109/L |
|
|
|
18 yrs-150 years |
0.0-0.1 |
|
|
Immature Granulocytes |
0 – 2 days |
0.0-0.28 x109/L |
|
|
|
2 days – 14 days |
0.0-0.27 |
|
|
|
14days-30days |
0.00-0.22 |
|
|
|
31 days – 60days |
0.0-0.09 |
|
|
|
61days – 180 days |
0.00-0.06 |
|
|
|
0.5 yr – 2 years |
0.00-0.14 |
|
|
|
2yr-<6yr |
0.0-0.06 |
|
|
|
6yr-<12yr |
0.00-0.04 |
|
|
|
12yr-<18yr |
0.0-0.03 |
|
|
|
18 yr – 150 years |
0.0-0.06 |
0.0 - 0.8 |
| Bands: | 0 - 150 years | 0 - 0.6 |