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CBC with Differential

Additional Codes

Epic# -

LAB1748

 

Cerner name(s):

  • CBC with Differential
  • CBC with Diff

Performing Lab(s)

Memorial-Belleville & Memorial-Shiloh

Methodology

Sysmex XN-2000

Specimen Requirement (s)

Specimen Type: Whole blood, serous fluid, synovial fluid, or Cerebrospinal fluid (CSF). 

Container/Tube:  

  • lavender (EDTA) top tube for WB and serous or synovial fluids. 
  • CSF - sterile collection tube.  No anticoagulant should be used with CSF.
  • Sodium Citrate (light blue tube) may be used when platelet clumping or satellitism is noted in the EDTA specimen.

Specimen Volume:    2 mL

Specimen Minimum Volume: 1 mL (250 µL for microtainer)

 

Collection Instructions: Invert tube several times after draw to mix anticoagulant.  Deliver to laboratory immediately. 

Unacceptable Conditions

  • Clotted samples
  • Samples containing clots, fibrin strands or platelet clumps
  • Grossly hemolyzed samples
  • Samples drawn above an IV site.

Day(s)/Shift(s) Test Set Up and Turnaround Time

Sunday through Saturday

Hours: 24 hours

 

Turnaround Time:

STAT: 45 minutes

Routine: less than 8 hours from receipt.

Transport and Stability

Transport temperature: Ambient to lab

 

Analyte Stability: 

Ambient: 24 hours

Refrigerated: 48 hours

Frozen: No

Reference Values

WBC

Age

Reference Values

Critical Low

Critical High

0 – 3 days

9 – 30 K/cumm

≤ 2 K/cumm

≥ 50 K/cumm

3 days – 2 weeks

5 - 21 K/cumm

≤ 1 K/cumm

 

2 weeks – 1 month

5 - 20 K/cumm

1 month – 2 years

6 – 17.5 K/cumm

2 – 6 years

5 – 15.5 K/cumm

6 – 12 years

4.5 – 13.5 K/cumm

>12 years

3.8 – 9.9 K/cumm

 

RBC

Age

Sex

Reference Values

0 – 3 days

Female

3.9 – 6 M/cumm

3 days – 2 weeks

3.6 – 6.2 M/cumm

2 weeks – 1 month

3 – 5.4 M/cumm

1 month – 6 months

2.7 – 4.9 M/cumm

6 months – 2 years

3.7 – 5.3 M/cumm

2 – 6 years

3.9 – 5.3 M/cumm

6 – 12 years

4 – 5.2 M/cumm

>12 years

3.9 – 5.2 M/cumm

0 – 3 days

Male

3.9 – 6 M/cumm

3 days – 2 weeks

3.6 – 6.2 M/cumm

2 weeks – 1 month

3 – 5.4 M/cumm

1 month – 6 months

2.7 – 4.9 M/cumm

6 months – 2 years

3.7 – 5.3 M/cumm

2 – 6 years

3.9 – 5.3 M/cumm

6 – 12 years

4 – 5.2 M/cumm

>12 years

4.3 – 5.8 M/cumm

 

Hemoglobin

Age

Sex

Reference Values

Critical Low

Critical High

0 – 3 days

Female

14.5 – 22.5 g/dL

≤ 7 g/dL

NA

3 days – 2 weeks

12.5 – 20.5 g/dL

≤ 7 g/dL

NA

2 weeks – 1 month

10 – 18 g/dL

≤ 7 g/dL

NA

1 month – 6 months

9 – 14 g/dL

≤ 7 g/dL

NA

6 months – 2 years

10.5 – 13.5 g/dL

≤ 7 g/dL

NA

2 – 6 years

11.5 – 13.5 g/dL

≤ 7 g/dL

NA

6 – 12 years

11.5 – 13.5 g/dL

≤ 7 g/dL

NA

12 – 18 years

11.9 – 15.5 g/dL

≤ 6 g/dL

NA

>18 years

11.9 – 15.5 g/dL

≤ 6.5 g/dL

≥ 19.9 g/dL

0 – 3 days

Male

14.5 – 22.5 g/dL

≤ 7 g/dL

NA

3 days – 2 weeks

12.5 – 20.5 g/dL

≤ 7 g/dL

NA

2 weeks – 1 month

10 – 18 g/dL

≤ 7 g/dL

NA

1 month – 6 months

9 – 14 g/dL

≤ 7 g/dL

NA

6 months – 2 years

1.5 – 13.5 g/dL

≤ 7 g/dL

NA

2 – 6 years

11.5 – 13.5 g/dL

≤ 7 g/dL

NA

6 – 12 years

11.5 – 15.5 g/dL

≤ 7 g/dL

NA

12 – 18 years

13 – 17.5 g/dL

≤ 6 g/dL

NA

>18 years

13 – 17.5 g/dL

≤ 6.5 g/dL

≥ 19.9 g/dL

Any age

Unknown

NA

≤ 6.5 g/dL

≥ 19.9 g/dL

 

Hematocrit

Age

Sex

Reference Values

0 – 3 days

Female

45 – 66%

3 days – 2 weeks

39 - 63%

2 weeks – 1 month

31 – 55%

1 month – 6 months

28 – 42%

6 months – 2 years

33 – 39%

2 – 6 years

34 – 40%

6 – 12 years

35 – 45%

>12 years

35.6 – 45.5%

0 – 3 days

Male

45 – 66%

3 days – 2 weeks

39 – 63%

2 weeks – 1 month

31 – 55%

1 month – 6 months

28 – 42%

6 months – 2 years

33 – 39%

2 – 6 years

34 – 40%

6 – 12 years

35 – 45%

>12 years

38.9 – 50.3%

Any age

Unknown

NA

 

MCV

Age

Reference Values

0 – 1 week

88 – 123 fL

1 week – 1 Month

85 – 123 fL

1 month – 6 months

74 – 115 fL

6 months – 2 years

70 – 86 fL

2 – 6 years

75 – 87 fL

6 – 12 years

77 – 95 fL

>12 years

81.3 – 96.4 fL

 

MCH

Age

Reference Values

0 – 1 week

28 – 40 pg

1 week - 6 months

25 – 35 pg

6 months – 2 years

23 – 31 pg

2- 6 years

24 – 30 pg

6 – 12 years

25 – 33 pg

>12 years

27.1 – 33.3 pg

 

MCHC

Age

Reference Values

0 – 1 week

28 – 38 g/dL

1 week - 6 months

29 – 37 g/dL

6 months – 2 years

30 – 36 g/dL

>2 years

32.3 – 35.7 g/dL

 

RDW-CV

Age

Reference Values

0 – 3 days

15 – 20%

3 days – 1 month

13 – 19%

1 – 6 months

12 – 16%

>6 months

11.1 – 14.9%

 

RDW-SD

Age

Reference Values

0 – 3 days

57 – 76 fL

3 days – 1 month

48.7 – 71.1 fL

1 – 6 months

40.8 – 54.4 fL

>6 months

35.7 – 48.1 fL

 

Platelets

Reference Values

Critical Low

Critical High

150 – 400 K/cumm

≤ 50 K/cumm

≥ 1000 K/cumm

 

MPV

Reference Values

9.1 – 12.3 fL

 

ABSOLUTE NEUTROPHIL

Age

Reference Values

Critical Low

0 – 4 years

1 – 10.2 K/cumm

≤ 0.5 K/cumm

 

4 – 16 years

1.5 – 9.4 K/cumm

>16 years

1.7 – 6.5 K/cumm

 

ABSOLUTE MONOCYTE

Age

Reference Values

0 – 4 years

0 – 1.2 K/cumm

4 – 16 years

0.1 – 1.7 K/cumm

>16 years

0.2 – 0.8 K/cumm

 

ABSOLUTE EOSINOPHIL

Age

Reference Values

0 – 4 years

0 – 0.5 K/cumm

4 – 16 years

0.1 – 1.6 K/cumm

>16 years

0 – 0.5 K/cumm

 

ABSOLUTE BASOPHIL

Age

Reference Values

0 – 4 years

0 – 0.2 K/cumm

4 – 16 years

0 – 0.3 K/cumm

>16 years

0 – 0.1 K/cumm

 

nRBC Absolute

Age

Reference Values

0 – 3 days

0 – 2.5 K/cumm

3 days – 2 weeks

0 – 0.05 K/cumm

>2 weeks

0 – 0.01 K/cumm

CPT/LOINC Codes

85025