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Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog
SCHISTOCYTES, TECHNOLOGIST REVIEW |
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ORDERING INFORMATION: |
Geisinger Epic Procedure Code: LAB4794 Geisinger Epic ID: 184016 | |
SPECIMEN COLLECTION |
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Specimen type: |
Whole blood | |
Preferred collection container: |
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Alternate Collection Container: |
Lavender-top (K2 EDTA) microcollection tube
2 mL pink-top K2 EDTA tube
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Specimen required: |
TUBE: 2 mL EDTA lavender-top tube minimum 1.6 mL of whole blood OR EDTA microcollection tube with 250-500uL of whole blood AND SLIDES: Off-campus laboratory: Two-three blood smears are to accompany the sample. They must be labeled with two (2) patient identifiers and made within eight (8) hours of collection AND HISTORY: A brief history is entered into EPIC. The EPIC form is to accompany the blood sample to the Hematology Lab. site. |
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Special notes: |
Add-ons greater than sixteen (16) hours from collection cannot be performed unless a slide was previously made. Smears made from refrigerated tubes between 8 and 16 hours of collection will be checked by the lab for acceptability. |
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| SPECIMEN PROCESSING |
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Specimen processing instructions: |
Do not centrifuge. Prepare two (2) or three (3) blood smears from fresh sample. | |
Transport temperature: |
Refrigerated (tube and smears). | |
Specimen stability: |
Room temperature: Lavender-top tube CBC - 24 hours Lavender-top tube differential - Should be made within 8 hours Refrigerated: Lavender-top tube CBC - 72 hours Lavender-top tube differential - 24 hours Once slides are made, they are stable indefinitely. |
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Rejection criteria: |
Clotted, frozen, hemolyzed, overfilled, underfilled, or centrifuged tubes. Specimens beyond stability limits. | |
TEST DETAILS |
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Reference interval: |
None seen | |
CPT code(s): |
85008 | |
| 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: |
CBCD and Schistocyte interpretation by technologist | |
Methodology: |
Manual Microscopy |
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Synonyms: |
Slide review for hemolysis, fragments
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Clinical significance: |
Schistocytes are fragments of red blood cells produced by extrinsic mechanical damage within the circulation. The detection of schistocytes is an important morphological clue for diagnosis of hemolytic anemias. | |
Doctoral Director(s:) |
Mary Dhesi MD | |
| Review Date: | 05/02/2023 | |
Performing Locations
Geisinger Wyoming Valley Medical Center
Geisinger Shamokin Area Community Hospital
Geisinger Community Medical Center
Geisinger Medical Center Muncy