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Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog
BLOOD SMEAR WITH INTERPRETATION BY PATHOLOGIST |
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ORDERING INFORMATION: |
Geisinger Epic Procedure Code: LAB2832 Geisinger Epic ID: 17707 | |
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
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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. Send smears with refrigerated lavender-top tube. Include a copy of EPIC request or a paper request with a brief history. | |
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: |
Results reviewed by pathologist. | |
Critical values/courtesy alerts: |
See individual member listing. | |
CPT code(s): |
85060 | |
| 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 interpretation by pathologist with a written report | |
Methodology: |
Electronic Particle Cell Counter Microscopy |
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Synonyms: |
PERS, Differential/pathology consult or pathology consult/peripheral smear
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Clinical significance: |
A peripheral smear (a smear examined by a pathologist) is primarily ordered to evaluate blood cell populations when a complete blood count with differential (CBCD), performed with an automated blood cell counter, indicates abnormal white blood cells, red blood cells, or platelets. It may also be performed when a doctor suspects a deficiency, disease or disorder affecting blood cell production or increased cell destruction. | |
Doctoral Director(s:) |
Mary Dhesi MD | |
| Review Date: | 03/28/2022 | |