Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

CBC/DIFF

ORDERING INFORMATION:
Sunquest Test Code:
CBCD      Geisinger Epic Procedure Code: CBCD         Geisinger Epic ID: 14855

SPECIMEN COLLECTION
Specimen type:
Whole blood
Preferred collection container:
Alternate Collection Container:
Lavender-top (K2 EDTA) microcollection tube
Specimen required:
EDTA lavender-top tube or microcollection tube. For EDTA platelet clumping ONLY, draw an additional lue-top (sodium citrate) tube.
Off-campus laboratory: Two blood smears are to accompany sample. They must be labeled with two (2) patient identifiers and made within eight (8) hours of collection. Smears made from refrigerated tubes between 8 and and 16 hours of collection will be checked by the lab for acceptability.

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: 16 hours. Room temperature: 8 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% 6.6-26.0

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:
Patients with clumped platelets will receive an estimate only (low, adequate, high). Upon physician request for EDTA clumping, draw lavender and blue-top tubes. Keep tubes together and deliver to Hematology as soon as possible. Do not warm tubes. Do not place in heel warmer.
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:
Hemogram (WBC RBC HGB HCT); indices (MCV MCH MCHC); RDW; PLT; MPV; differential (percent and absolute neutrophils, lymphocytes, monocytes, eosinophils, basophils, and immature cells if present).
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:)
Michelle Grant DO    
Review Date: 04/29/2019

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: Amanda Mika    
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: Sophie Rockwell  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Community Medical Center

Performing laboratory: Hematology
Technical Lead: Renee Bordo, Robert Furcon  
Frequency: Daily    
Performed stat? Yes

Geisinger Lewistown Hospital

Performing laboratory: Hematology
Technical Lead: Lisa Sheaffer  
Frequency: All shifts    
Performed stat? Yes

Geisinger Holy Spirit Hospital

Performing laboratory: ATL+
Technical specialist: Hadeel Naghnaghieh    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Jersey Shore Hospital

Performing laboratory: Hematology
Technical specialist: Beth Emert    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger South Wilkes-Barre

Technical specialist: Bernadette Johnson    
Frequency: Daily, all shifts    
Performed stat? Yes
Locations  |    Search  |    Site Map |   Contact Us
©2000-2019 Geisinger Health System.   All rights reserved.
*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
GCMC - Geisinger Community Medical Center (Scranton); GLH - Geisinger Lewistown Hospital; GHS - Geisinger Holy Spirit; GJSH - Geisinger Jersey Shore Hospital,
GSWB - Geisinger South Wilkes-Barre