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Test Code CBC Complete Blood Count (CBC), With Differential

Important Note

Orders for individual CBC components with a Differential requested will be automatically converted to CBC with differential to ensure adequate specimen quality assessment per Bronson policy.

Additional Codes

LAB293

Specimen Required

Container Type:

Optimal:  Lavender top EDTA

Acceptable: Lavender top EDTA Microtainer

Optimal Collection Volume: 

4.0 mL whole blood in Lav top EDTA tube

Collection Instructions:

Gently invert sample tube 5-6 times after collection.

Processing Instructions: 

1. Keep specimen as whole blood for testing. 

2. Store samples refrigerated prior to testing.

3. Allow refrigerated samples to come to ambient temperature, and mix well before analysis.

Useful For

Screening tool as part of a routine health exam, or to confirm a hematologic disorder, establish or rule out a diagnosis, detect an unsuspected hematologic disorder, or to monitor effects of radiation or chemotherapy treatment.

Slide review by technologist will be performed when reflexed based on defined criteria.  In addition, hematopathology consultation will be reflexed based on further defined criteria. 

Profile Information

Test ID   Reporting Name Available Separately Always Performed
WBC White Blood Cell Count No Yes
RBC Red Blood Cell Count No Yes
HGB Hemoglobin Yes Yes
HCT Hematocrit Yes Yes
MCV Mean Corpuscular Volume No Yes
MCH Mean Corpuscular Hemoglobin No Yes
MCHC Mean Corpuscular Hemoglobin Conc. No Yes
RDW Red Cell Distribution Width No Yes
PLTC Platelet Count Yes (as PLTCT) Yes
MPV Mean Platelet Volume No Yes
NRBC Nucleated Red Blood Cells No Yes
ANRBC Absolute Nucleated RBC No Yes
DTYPE Differential Type No Yes
MPOLY Polynucleated Neutrophils No Yes
IGRAN Immature Granulocytes No Yes
MLYMP Lymphocytes No Yes
MMONO Monocytes No Yes
MEOS Eosinophils No Yes
MBASO Basophils No Yes
MAPOL Absolute Neutrophils No Yes
AIGRAN Absolute Immature Granulocytes No Yes
MAMON Absolute Lymphocytes No Yes
MAEOS Absolute Eosinophils No Yes
MABAS Absolute Basophils No Yes
DTYPE Smear Review by Technologist No No
BLDRR Hematopathology Consultation, Peripheral Smear Yes (BLDRV) No

Method Name

Electronic Resistance Detection RBC Count
  Platelet Count
Cumulative Pulse Height Detection Hematocrit
SLS-Hemoglobin Hemoglobin
Flow Cytometry WBC Count
  WBC Differential
  Reticulocyte Count
  Immature Reticulocyte Fraction
  Reticulated HGB Equivalent
  nRBC Count
  Flourescent Platelet Count
  Immature Platelet Fraction

Stability Information

Specimen Type Temperature Time
Whole Blood Refrigerated 48 hours
  Ambient  24 hours
  Frozen  No

Rejection Due To

Hemolysis Mild OK; Moderate OK; Gross Reject
Lipemia N/A
Icterus N/A
Other Clotted specimens are rejected.

 

Post Processing Specimen Type

Keep sample as whole blood for testing.

Specimen Minimum Volume

Collecting minimum volumes can result in a need for sample recollection, and/or a delay in results. Minimum volumes are subjective and cannot account for all aspects of specimen and testing needs. Refer to the Specimen Required section for optimal volumes for laboratory specimens. Contact the Bronson Laboratory if complex collection exceptions occur that require more information.

 

Minimum Volume:

1.0 mL whole blood in lavender top EDTA

Neonate Volume: 0.25 mL whole blood in EDTA microtainer

Performing Laboratory

Bronson Laboratory, Hematology - Kalamazoo, Paw Paw, Battle Creek, South Haven

Day(s) Performed

24/7

Reference Values

Test ID Reference Range Units
WBC 0-1 day: 9.0-38.0
2-6 days: 5.0-30.0
7-14 days: 5.0-21.0
   15-30 days: 5.0-20.0
   1-6 months: 5.0-19.5
6 months-2 years: 6.0-17.5
>12 years: 4.0-11.0
× 109/L
RBC 0-1 day: 3.9-6.2
2-6 days: 3.9-6.2
7-14 days: 3.9-6.0
15-30 days: 3.0-5.8
1-6 months: 2.7-5.0
6 months-2 years: 3.7-5.3
2-6 years: 3.9-5.4
6-12 years: 4.0-5.4
Males >12 years: 4.4-6.0
Females >12 years: 4.2-5.5
× 1012/L
HGB 0-1 day: 13.5-20.0
2-6 days: 13.5-20.0
7-14 days: 12.5-19.5
15-30 days: 10.0-18.5
1-6 months: 9.0-15.0
6 months-2 years: 10.5-14.0
2-6 years: 11.0-14.0
6-12 years: 11.5-15.0
Males >12 years: 13.5-17.5
Females >12 years: 12.0-16.0
g/dL
HCT 0-1 day: 42-61
2-6 days: 42-61
7-14 days: 39-60
15-30 days: 31-58
1-6 months: 28-45
6 months-2 years: 33-42
2-6 years: 34-42
6-12 years: 35-45
Males >12 years: 41-51
Females >12 years: 36-47
%
MCV 0-6 days: 95-118
7-14 days: 86-113
15-30 days: 85-112
1-6 months: 74-106
6 months-2 years: 70-88
2-6 years: 75-88
6-12 years: 77-94
>12 years: 80-99
fL
MCH 25.0-35.0 pg/cell
MCHC 32.0-36.0 g/dL
RDW <15.0 %
PLTC 140-440 × 109/L
MPV 9.0-12.2 fL
NRBC    
ANRBC    
DTYPE Manually or Automated N/A
MPOLY    
IGRAN    
MLYPH    
MMONO    
MEOS    
MBASO    
MAPOL    
AIGRAN    
MAMON    
MAEOS    
MABAS    

LOINC Code Information

57021-8

CPT Code Information

85025

Sample Retention Time

7 days