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26151 CBC with Manual Differential Test

CBC with Manual Differential Test
Test Code: HGMPMTEST
Synonyms/Keywords
​CBC with Manual Differential, Hemogram + PLT + Manual Differential​
Test Components
​White blood cell count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, red cell distribution width, platelet, mean platelet volume, percent/absolute neutrophils, lymphocytes, monocytes, eosinophils, basophils and any abnormal nucleated cells present, including blasts and NRBC's. RBC and platelet morphology also included.​
Useful For
​Screening to identify the presence of disease and aid in diagnosis.​
 
RESTRICTED USE:
 
This test is not available except for the following b
ranches that are still valid for ordering these codes (valid within Lab Order Manager):
63 – Outreach – will set up as Marshfield performable codes
74 – Our Lady of Victory
77 – Good Samaritan Hospital
79 - MMG-Merrill (performed at Good Samaritan).
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Whole Blood ​EDTA lavender Top Tube (LTT) ​EDTA Pink Top Tube (PTT) ​2 mL ​One lavender top micro colleciton tube or 1.0 mL in 3 mL lavender ​One lavender top micro collection tube with 0.5 mL
Collection Processing Instructions
​Invert specimen at least 5-6 times in order to facilitate mixing and prevent coagulation.
 
Prepare blood smear as soon as possible, preferably within two hours of collection, up to 24 hours, label with computer generated label or use pencil to label with patient's full name and date. Store slides at room temperature.​
Specimen Stability Information
Specimen Type Temperature Time
​Whole blood ​ ​ ​Ambient ​<24 hours
​Refrigerated ​<48 hours
​Refrigerated ​>48 hours may be reported with additional comments
Rejection Criteria
Clotted
​Grossly Hemolyzed
​Diluted with IV or tissue fluid
​Frozen
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Marshfield ​Monday through Sunday ​Less than 2 hours ​Unicell Beckman Coulter DxH800/Light microscopy
Reference Range Information
Performing Location Reference Range
​Marshfield
​See Tables:
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​85027 ​ ​ ​​WBC, RBC, HGB, HCT, PLT, red cell indices  ​
​85007 ​ ​ ​Manual diff ​
Synonyms/Keywords
​CBC with Manual Differential, Hemogram + PLT + Manual Differential​
Test Components
​White blood cell count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, red cell distribution width, platelet, mean platelet volume, percent/absolute neutrophils, lymphocytes, monocytes, eosinophils, basophils and any abnormal nucleated cells present, including blasts and NRBC's. RBC and platelet morphology also included.​
Ordering Applications
Ordering Application Description
​Cerner ​Complete Blood Count w/Manual Differential
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Whole Blood ​EDTA lavender Top Tube (LTT) ​EDTA Pink Top Tube (PTT) ​2 mL ​One lavender top micro colleciton tube or 1.0 mL in 3 mL lavender ​One lavender top micro collection tube with 0.5 mL
Collection Processing
​Invert specimen at least 5-6 times in order to facilitate mixing and prevent coagulation.
 
Prepare blood smear as soon as possible, preferably within two hours of collection, up to 24 hours, label with computer generated label or use pencil to label with patient's full name and date. Store slides at room temperature.​
Specimen Stability Information
Specimen Type Temperature Time
​Whole blood ​ ​ ​Ambient ​<24 hours
​Refrigerated ​<48 hours
​Refrigerated ​>48 hours may be reported with additional comments
Rejection Criteria
Clotted
​Grossly Hemolyzed
​Diluted with IV or tissue fluid
​Frozen
Useful For
​Screening to identify the presence of disease and aid in diagnosis.​
 
RESTRICTED USE:
 
This test is not available except for the following b
ranches that are still valid for ordering these codes (valid within Lab Order Manager):
63 – Outreach – will set up as Marshfield performable codes
74 – Our Lady of Victory
77 – Good Samaritan Hospital
79 - MMG-Merrill (performed at Good Samaritan).
Test Components
​White blood cell count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, red cell distribution width, platelet, mean platelet volume, percent/absolute neutrophils, lymphocytes, monocytes, eosinophils, basophils and any abnormal nucleated cells present, including blasts and NRBC's. RBC and platelet morphology also included.​
Reference Range Information
Performing Location Reference Range
​Marshfield
​See Tables:
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Marshfield ​Monday through Sunday ​Less than 2 hours ​Unicell Beckman Coulter DxH800/Light microscopy
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​85027 ​ ​ ​​WBC, RBC, HGB, HCT, PLT, red cell indices  ​
​85007 ​ ​ ​Manual diff ​
For most current information refer to the Marshfield Laboratory online reference manual.