Geisinger Medical Laboratories Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

CBC

Geisinger Epic Procedure Code: LAB1961             Geisinger Epic ID: 7098
       

SPECIMEN COLLECTION
Specimen type:
 Whole blood
Preferred collection container:
Alternate Collection Container:
Lavender-top (K2 EDTA) microcollection tube
Specimen required:
3 mL lavender-top (K2 EDTA) tube collected MUST be properly filled to at least 1.5 mL (half the fill volume of the tube).
Lavender-top (K2 EDTA) microcollection tube MUST be properly filled to at least 250 uL (half the fill volume of the tube).
SPECIMEN PROCESSING
Specimen processing instructions:
Do NOT centrifuge specimen. 
Transport temperature:
 Refrigerated (preferred) or room temperature.
Specimen stability:
 Refrigerated sample is stable for 72 hours; room temperature, 24 hours.
Rejection criteria:
 Clotted, frozen, underfilled, overfilled, hemolyzed, or centrifuged specimens. Specimens beyond stability limits.
TEST DETAILS
Reference interval:
Age Males Females
WBC
16 y/Adult 4.00 -10.80 K/uL 4.00-10.80 K/uL
6 y 4.00-13.50 K/uL 4.00-13.50 K/uL
2 y 5.00-15.50K/uL 5.00-15.50 K/uL
1 month 5.00-17.50 K/uL 5.00-17.50 K/uL
3 days 5.00-21.00 K/uL 5.00-21.00 K/uL
Newborn 9.00-30.00 K/uL 9.00-30.00 K/uL
RBC 18 y/Adult 4.50-5.25 M/uL 3.85-5.15 M/uL
12 y 4.50-5.30 M/uL 3.85-5.15 M/uL
6 y 4.00-5.20 M/uL 3.85-5.15 M/uL
2 y 3.90-5.30 M/uL 3.90-5.30 M/uL
6 months 3.70-5.30 M/uL 3.70-5.30 M/uL
3 months 3.10-4.50 M/uL 3.10-4.50 M/uL
2 months 2.70-4.90 M/uL 2.70-4.90 M/uL
1 month 3.00-5.40 M/uL 3.00-5.40 M/uL
14 days 3.60-6.20 M/uL 3.60-6.20 M/uL
7 days 3.90-6.30 M/uL 3.90-6.30 M/uL
Newborn 4.10-6.10 M/uL 4.10-6.10 M/uL
Hemoglobin
Adult 14.0 - 16.8gm/dL 12.0-15.3 gm/dL
12 13.0-16.0 gm/dL 12.0-16.0 gm/dL
6 11.5-15.5 gm/dL 11.5-15.5 gm/dL
2 11.5-13.5 gm/dL 11.5-13.5 gm/dL
6 months 10.5-13.5 gm/dL 10.5-13.5 gm/dL
3 months 9.5-13.5 gm/dL 9.5-13.5 gm/dL
2 months 9.0-13.0 gm/dL 9.0-13.0 gm/dL
1 month 10.0-18.0 gm/dL 10.0-18.0 gm/dL
14 days 12.5-20.5 gm/dL 12.5-20.5 gm/dL
7 days 13.5-21.5 gm/dL 13.5-21.5 gm/dL
Newborn 14.5-22.5 gm/dL 14.5-22.5 gm/dL
Hematocrit
Adult 40.0-48.4% 36.0-45.2%
12 y 37.0-49.0% 36.0-46.0%
6 y 35.0-45.0% 35.0-45.0%
2 y 34.0-40.0% 34.0-40.0%
6 months 33.0-39.0% 33.0-39.0%
3 months 29.0-41.0% 29.0-41.0%
2 months 28.0-42.0% 28.0-42.0%
1 month 31.0-55.0% 31.0-55.0%
14 days 39.0-63.0% 39.0-63.0%
7 days 42.0-66.0% 42.0-66.0%
Newborn 45.0-67.0% 45.0-67.0%
MCV 18 y.Adult 82.0-99.5 fL 81.5-97.5 fL
12 y 78.0-98.0 fL 78.0-98.0 fL
6 y 77.0-95.0 fL 77.0-95.0 fL
2 y 75.0-87.0 fL 75.0-87.0 fL
6 months 70.0-86.0 fL 70.0-86.0 fL
3 months 74.0-108.0 fL 74.0-108.0 fL
2 months 77.0-115.0 fL 77.0-115.0 fL
1 month 85.0-123.0 fL 85.0-123.0 fL
Newborn 88.0-126.0 fL 88.0-126.0 fL
MCH 18 y/Adult 27.0-34.0 pg 27.0-34.0 pg
12 y 25.0-35.0 pg 25.0-35.0 pg
6 y 25.0-33.0 pg 25.0-33.0 pg
2 y 24.0-30.0 pg 24.0-30.0 pg
6 months 23.0-31.0 pg 23.0-31.0 pg
3 months 25.0-35.0 pg 25.0-35.0 pg
2 months 26.0-34.0 pg 26.0-34.0 pg
1 month 26.0-34.0 pg 26.0-34.0 pg
7 days 28.0-40.0 pg 28.0-40.0 pg
Newborn 31.0-37.0 pg 31.0-37.0 pg
MCHC All ages 32.0-36.0 gm/dL 32.0-36.0 gm/dL
RDW All ages 11.5-15.5% 11.5-15.5%
PLT All ages 140-400 K/uL 140-400 K/uL
MPV All ages 6.6-11.1 fL 6.6-11.1 fL
Adult ranges established by normal range study performed at GMC and GWV Sysmex validation 2010.
Pediatric ranges from Nathan and Oski's "Hematology of Infancy and Childhood, 7th edition."
Critical values/courtesy alerts:
 See individual member listings.
Additional information:
 Patient with clumped platelets will result an estimate only (decreased, adequate, increased). For EDTA platelet clumping, order platelet count for patients with platelet clumping (LAB2859), an additional blue-top (sodium citrate) tube is required.

Potential related available add on testing includes: CBC with WBC differential (LAB1963); reticulocyte panel (LAB3006); immature platelet fraction (LAB2524) can only be added if sample is collected at testing laboratory; blood smear interpretation by pathologist (LAB2832).

See individual test requirements.
CPT code(s):
 85027
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
 WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW, PLT, and MPV.
Methodology:
Electronic resistance detection enhanced by hydrodynamic focusing and flow cytometry
Synonyms:
CBC, Hemogram, Blood Count
Basic Blood Count, BBC, Complete Blood Count
Clinical significance:
The complete blood count (CBC) is a blood test that shows increases or decreases in white blood cell count, platelet count, and red blood cell count as well as other properties of the red blood cell. Abnormalities could indicate infection/inflammation, anemia, or leukemia, as well as other conditions.
Doctoral Director(s:)
Mary Dhesi MD    
Review Date: 02/03/2023

Performing Locations

Geisinger Medical Center

Performing laboratory: Hematology
Technical Lead: Michele Adler
Frequency: Daily, all shifts
Performed STAT? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Technical Lead: Jessica Kopeck    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Shamokin Area Community Hospital

Performing laboratory: Hematology
Technical Lead: Kelly Alleman    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Bloomsburg Hospital

Performing laboratory: Hematology
Technical Lead: Kristen Hall  
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Community Medical Center

Performing laboratory: Hematology
Technical Lead: Robert Furcon  
Frequency: Daily    
Performed STAT? Yes

Geisinger Lewistown Hospital

Performing laboratory: Hematology
Technical Lead: Melissa Cramer  
Frequency: All shifts    
Performed STAT? Yes

Geisinger Medical Center Muncy

Performing laboratory: Hematology
Technical lead: Mariana Moyer    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Jersey Shore Hospital

Performing laboratory: Hematology
Technical lead: Lori Bechdel    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger South Wilkes-Barre

Technical lead: Bernadette Johnson    
Frequency: Daily, all shifts    
Performed STAT? Yes
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