Geisinger Medical Laboratories Test Catalog

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

CBC WITH WBC DIFFERENTIAL

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB1963         Geisinger Epic ID: 14855

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 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. 
Transport temperature:
 Refrigerated (preferred) or room temperature.
Specimen stability:
 CBC: Refrigerated: 72 hours. Room temperature: 24 hours.
DIFF: Refrigerated: 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
18y/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
18y/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
Differential
Age
Percentage
Absolute
Neutrophils 21 y/Adult 40-75% 1.8-7.7
20 y 40-75% 1.8-8.0
14 y 35-65% 1.8-8.0
10 y 30-60% 1.8-8.0
6 y 30-60% 1.5-8.0
4 y 30-60% 1.5-8.5
1 y 27-51% 1.5-8.5
6 months 27-51% 1.0-8.5
30 days 27-51% 1.0-9.0
14 days 27-51% 1.0-9.5
7 days 27-51% 1.5-10.0
5 days 27-51% 5.0-21.0
3 days 37-67% 5.0-21.0
Newborn 37-67% 6.0-26.0
Lymphocytes 21 y/Adult 18-42% 1.0-4.8
20 y 18-42% 1.2-5.4
16 y 23-53% 1.2-5.4
12 y 23-53% 1.5-7.0
6 y 29-65% 1.5-7.0
4 y 29-65% 2.0-8.0
2 y 16-46% 3.0-9.5
1 y 16-46% 4.0-10.5
6 months 16-46% 4.0-13.5
1 month 16-46% 2.5-16.5
7 days 16-46% 2.0-17.0
4 days 16-46% 2.0-11.5
Newborn 18-38% 2.0-11.5
Monocytes 18 y/Adult 1-11% 0.0 - 1.1
12 y 1-11% 0.0 - 1.2
4 y 1-11% 0.0 - 1.4
2 y 1-11% 0.0 - 1.6
1 y 1-11% 0.0 - 1.7
1 month 1-11% 0.0 - 1.8
Newborn (0 days) 1-11% 0.0 - 2.0
Eosinophils 12 y/Adult 0-6% 0.0 - 0.7
4 y 0-6% 0.0 - 0.8
2 y 0-6% 0.0 - 0.9
1 y 0-6% 0.0 - 1.0
1 month 0-6% 0.0 - 1.1
Newborn (0 days) 0-6% 0.0 - 1.2
Basophils 12 y/Adult 0-2% 0.0 - 0.2
1 y 0-2% 0.0 - 0.3
Newborn (0 days) 0-2% 0.0 - 0.4
Immature Granulocytes 16 y/Adult 0-2% 0.0 - 0.2
6 y 0-2% 0.0 - 0.3
2 y 0-2% 0.0 - 0.3
1 month 0-2% 0.0 - 0.4
3 days 0-2% 0.0 - 0.4
Newborn (0 days) 0-2% 0.0 - 0.6
Adult ranges established by normal study performed at GMC and GWV Sysmex validation in 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: 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):
 Varies with differential methodology
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, MPV and WBC differential with absolute values and percentages. The CBC analyzer will flag certain abnormalities for manual review. A technologist performed WBC differential and/or morphology scan may be automatically performed. Technologist may identify abnormalities that require additional pathologist review.
Methodology:
Electronic resistance detection enhanced by hydrodynamic focusing and flow cytometry
Microscopic Examination
Synonyms:
CBCD
CBC/Diff
Blood Cell Count with Diff
Clinical significance:
Complete blood count plus white blood cell differential which looks at the types of white blood cells present to aid physician in diagnosing infection, viral condition or other disease affecting the white blood cells, such as leukemias. The white blood cell differential assesses the body's ability to respond to and eliminate infection. It also detects the severity of allergic and drug reactions, plus the response to viral, parasitic, and other types of infection. It is essential in identifying various stages of leukemia and monitoring response to chemotherapy.
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: Julia Bell    
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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