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Test Code RETIC Reticulocyte Count, Blood

Important Note

This test includes Immature Reticulocyte Fraction (IRF) and Reticulated Hemoglobin (RETHE).  Please see the link under the "Resources"  on the left column for a descriptive article in the January 2019 LabWire

Additional Codes

Epic Order Code: LAB296
Sunquest Order Code: RETIC

Specimen Required

Container Type:

Lavender top (EDTA)

Optimal Collection Volume: 

3-4 mL whole blood

Collection Instructions:

1. Gently invert 5 to 10 times to mix blood.

2. Do not centrifuge.

Useful For

Assessing erythropoietic bone marrow activity in anemia and other hematologic conditions

Profile Information

Test ID   Reporting Name Available Separately Always Performed
ARETI Absolute Reticulocyte No Yes
RETPCT Relative Reticulocyte Percent No

Yes

RETHE Reticulocyte Hemoglobin No Yes
IRF Immature Reticulocyte Fraction No Yes
       

Flow Cytometry

Flow Cytometry performed on the Sysmex XN Analyzer

Includes absolute count and reticulocytes expressed as a percentage of total RBCs, reticulocyte hemoglobin equivalent (RetHe), and immature reticulocyte fraction (IRF).

Stability Information

Specimen Type Temperature Time
EDTA whole blood Refrigerated 72 hours
EDTA whole blood Ambient  8 hours

Rejection Due To

Hemolysis Mild OK; Moderate OK; Gross Reject
Lipemia Mild OK; Moderate OK; Gross OK
Icterus Mild OK; Moderate OK; Gross OK
Other Clotted

 

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 mL in a 4.0 mL EDTA tube
Neonate Volume: 0.25 mL in a MAP EDTA tube

Performing Laboratory

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

Day(s) Performed

Monday through Sunday 24/7

Reference Values

 Test ID   Reference Range    Units      
ARETI
Newborn-7 days   0-434 
Infants (8 days-3 months)   0-174 
Adults (> 3 months)   23-93 
10^9/L
RETPCT
Newborn-7 days 0.0-7.0%  
Infants (8 days-3 months) 0.0-3.0%  
Adults (>3 months) 0.5-1.5%  
%
RETHE 28.6-36.3 pg
IRF 2.3-15.9 %

LOINC Code Information

 

Test ID Test Order Name Order LOINC Value
RETIC Reticulocytes 60474-4

CPT Code Information

85046

Sample Retention Time

7 days