Center for Health and Healing (CHH)

Orderable EAP code:

LAB01047

Billable EAP Codes:

80001659 x 1

CPT Codes:

80076 x 1

Lab Section:

Center for Health and Healing (CHH)

Includes:

Alb, Alk Phos, T. Bili, D. Bili, AST, ALT, TOTAL PROTEIN

Turnaround Time:

Urgent and Routine: 45 Minutes

Specimen Requirements:

4 mL blood in a GREEN top (lithium heparin) tube.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top (lithium heparin) tube.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Reference Range:

See individual test listings for reference ranges.

Synonyms:

Hepatic Function Panel
LFTs
Liver Function Test
Liver Panel
Liver Profile

Orderable EAP code:

LAB01042

Billable EAP Codes:

80001716 x 1

CPT Codes:

82565 x 1

Lab Section:

Center for Health and Healing (CHH)

Includes:

Urgent and Routine: 45 Minutes

Units:

mg/dL

Specimen Requirements:

4 mL blood in a GREEN top (lithium heparin) tube.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top (lithium heparin) tube.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Reference Range:

AGE	MALE	FEMALE
0 to 2 months	0.31 to 0.92 mg/dL	0.31 to 0.92 mg/dL
2 months to 1 year	0.16 to 0.39 mg/dL	0.16 to 0.39 mg/dL
1 to 3 years	0.17 to 0.35 mg/dL	0.17 to 0.35 mg/dL
3 to 5 years	0.26 to 0.42 mg/dL	0.26 to 0.42 mg/dL
5 to 7 years	0.29 to 0.48 mg/dL	0.29 to 0.48 mg/dL
7 to 9 years	0.34 to 0.55 mg/dL	0.34 to 0.55 mg/dL
9 to 11 years	0.32 to 0.64 mg/dL	0.32 to 0.64 mg/dL
11 to 13 years	0.42 to 0.71 mg/dL	0.42 to 0.71 mg/dL
13 to 18 years	0.46 to 0.81 mg/dL	0.46 to 0.81 mg/dL
18 to 150 years	0.70 to 1.30 mg/dL	0.60 to 1.10 mg/dL

Orderable EAP code:

LAB01137

Billable EAP Codes:

80001699 x 1

CPT Codes:

82247 x 1

Lab Section:

Center for Health and Healing (CHH)

Turnaround Time:

Urgent and Routine: 45 Minutes

Units:

mg/dL

Critical Values:

Cord Blood: greater than or equal to 3.5 mg/dL
Neonates: greater than or equal to 15 mg/dL

Specimen Requirements:

4 mL blood in a GREEN top (lithium heparin) tube. Protect specimen from light.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top (lithium heparin) tube. Protect specimen from light.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Reference Range:

Up to 1 day old: 1.4 - 8.7 mg/dL
1 day to 2 days old: 3.4 - 11.5 mg/dL
2 days to 5 days old: 1.5 - 12.0 mg/dL
5 days to 1 month old: 1.4 - 8.7 mg/dL
1 month to 150 years old: 0.3 - 1.2 mg/dL

Orderable EAP code:

LAB01041

Billable EAP Codes:

80001700 x 1

CPT Codes:

82248 x 1

Lab Section:

Center for Health and Healing (CHH)

Turnaround Time:

Urgent and Routine: 45 Minutes

Units:

mg/dL

Specimen Requirements:

4 mL blood in a GREEN top (lithium heparin) tube. Protect the specimen from light.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top (lithium heparin) tube. Protect the specimen from light.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Reference Range:

<=0.2 mg/dL

Synonyms:

Conjugated Bilirubin
Direct Bilirubin

Orderable EAP code:

LAB01045

Billable EAP Codes:

80001656 x 1

CPT Codes:

80053 x 1

Lab Section:

Center for Health and Healing (CHH)

Includes:

Na, K, Cl, CO2, BUN, Creat, Ca, Glu, Alb, Alk Phos, T. Bili, AST, T. Protein, ALT

Turnaround Time:

Urgent and Routine: 45 Minutes

Test Schedule:

Monday through Friday, 8:00 am to 5:30 pm.

Critical Values:

See individual test listings for critical values.

Specimen Requirements:

4 mL blood in a GREEN top (lithium heparin) tube.
Whole blood/plasma:
Room temperature (21 to 25 degrees C) or Refrigerate (2 to 8 degrees C), stable up to 4 hours.

Pediatric Specimen Requirements:

0.5 mL blood in a 1.0 mL GREEN top (lithium heparin) tube.
Whole blood/plasma:
Room temperature (21 to 25 degrees C) or Refrigerate (2 to 8 degrees C), stable up to 4 hours.

Reference Range:

See individual test listings for reference ranges.

Comments:

This test is only performed at The Center for Health and Healing (CHH) Laboratory. To order tests in Epic, type "CHH" in the order box. All tests performed will pop-up.

Hemolyzed specimens will be sent to Core Lab.

Synonyms:

CMP
CMS
CMT

Orderable EAP code:

LAB01038

Billable EAP Codes:

80001809 x 1

CPT Codes:

85025 x 1

Lab Section:

Center for Health and Healing (CHH)

Includes:

RBC, Hematocrit, Hemoglobin, Platelet, WBC, WBC Differential

Turnaround Time:

Urgent and Routine: 45 Minutes

Test Schedule:

Monday through Saturday, 6:30 am to 6:00 pm.
Sunday, 7:00 am to 4:30 pm.

Critical Values:

WBC (K/mm3): less than 2.0, greater than 40.0
HGB (g/dL): less than 6.6, greater than 20.0
HCT (%): less than 19.8, greater than 60.0
PLT (K/mm3): less than or equal to 10, greater than or equal to 1000
Presence of 5% or more atypical cells with no previous on smears.

Specimen Requirements:

3.0 mL blood in a LAVENDER top tube.
Room temperature (21 to 25 degrees C), stable up to 24 hours.

Pediatric Specimen Requirements:

0.5 mL in a 0.5 mL LAVENDER top tube.
Room temperature (21 to 25 degrees C), stable up to 24 hours.

Reference Range:

HEMATOLOGY	Age	Male	Female
WBC - White Blood Count (K/mm³)	0 to 30 days	5.5 to 19.9	5.5 to 19.9
(Equivalent units: 10³/microliters)	30 days to 6 months	7.4 to 16.3	7.4 to 16.3
	6 months to 2 years	6.3 to 14.8	6.3 to 14.8
	2 to 6 years	5.0 to 13.2	5.0 to 13.2
	6 to 2 years	4.8 to 11.8	4.8 to 11.8
	12 to 18 years	4.9 to 15.5	4.9 to 15.5
	18 to 150 years	3.5 to 10.8	3.5 to 10.8
RBC - Red Blood Count (M/mm³)	0 to 30 days	3.1 to 5.3	3.1 to 5.3
(Equivalent units: 10⁶/microliters)	30 days to 6 months	2.7 to 5.4	2.7 to 5.4
	6 months to 2 years	3.7 to 5.3	3.7 to 5.3
	2 to 6 years	3.9 to 5.3	3.9 to 5.3
	6 to 12 years	4.0 to 5.2	4.0 to 5.2
	12 to 18 years	4.5 to 5.3	4.1 to 5.1
	18 to 150 years	4.5 to 6.0	4.0 to 5.2
Hemoglobin g/dL	0 to 30 days	10.0 to 18.0	10.0 to 18.0
	30 days to 6 months	9.5 to 14.0	9.5 to 14.0
	6 months to 2 years	10.5 to 13.5	10.5 to 13.5
	2 to 6 years	11.5 to 13.5	11.5 to 13.5
	6 to 12 years	11.5 to 15.5	11.5 to 15.5
	12 to 18 years	13.0 to 16.0	12.0 to 16.0
	18 to 150 years	13.5 to 17.5	12.0 to 16.0
Hematocrit %	0 to 30 days	31.0 to 55.0	31.0 to 55.0
	30 days to 6 months	28.0 to 42.0	28.0 to 42.0
	6 months to 2 years	33.0 to 39.0	33.0 to 39.0
	2 to 6 years	34.0 to 40.0	34.0 to 40.0
	6 to 12 years	35.0 to 45.0	35.0 to 45.0
	12 to 18 years	37.0 to 49.0	36.0 to 46.0
	18 to 150 years	41.0 to 53.0	36.0 to 46.0
MCV - Mean Red Cell Volume (fL)	0 to 3 days	95 to 121	95 to 121
	3 to 30 days	85 to 126	85 to 126
	30 days to 2 months	77 to 115	77 to 115
	2 to 6 months	74 to 108	74 to 108
	6 months to 2 years	70 to 86	70 to 86
	2 to 6 years	75 to 87	75 to 87
	6 to 12 years	77 to 95	77 to 95
	12 to 18 years	78 to 100	78 to 100
	18 years and older	80 to 100	80 to 100
MCH - Mean Cell Hemoglobin (pg)	0 to 2 weeks	29 to 39	29 to 39
	2 weeks to 6 months	26 to 35	26 to 35
	6 months to 14 years	25 to 30	25 to 30
	14 years and older	27 to 34	27 to 34
MCHC - Mean Cell Hemoglobin Conc (g/dL)	0 to 2 weeks	28 to 36	28 to 36
	2 weeks to 6 months	29 to 36	29 to 36
	6 months to 6 years	30 to 36	30 to 36
	6 years and older	32 to 36	32 to 36
RDW-CV - Red Cell Distribution Width (%)	0 to 150 years	11.6 to 14.4	11.6 to 14.4
RDW-SD - Red Cell Distribution Width (fL)	0 to 150 years	35.1 to 46.3	35.1 to 46.3
Platelet Count (K/mm³)	0 to 30 days	250 to 450	250 to 450
(Equivalent units: 10³/microliters)	30 days to 2 years	250 to 600	250 to 600
	2 to 12 years	200 to 450	200 to 450
	12 years and older	150 to 400	150 to 400
MPV - Mean Platelet Volume (fL)	0 to 150 years	7.2 to 12.3	7.2 to 12.3
NRBC – Nucleated Red Blood Cells (%)	0 to 150 years	0 to 0.3	0 to 0.3
NRBC – Nucleated Red blood Cells (#)	0 to 150 years	0 to 0.02	0 to 0.02
IPF – Immature Platelet Fraction (%)	0 to 150 years	1 to 7.5	1 to 7.5
Reticulocyte Count (%)	0 to 150 years	0.5 to 1.5	0.5 to 1.5
Reticulocyte Count (#) x 10³	0 to 150 years	10 to 90	10 to 90
IRF - Immature Retic Fraction (%)	0 to 150 years	3 to 12	3 to 12
RET-He – Reticulocyte Hemoglobin Equivalent (pg)	0 to 150 years	29 to 38	29 to 38
Neutrophil %	0 to 30 days	14 to 58	14 to 58
	30 days to 6 months	14 to 54	14 to 54
	6 months to 2 years	21 to 67	21 to 67
	2 to 6 years	30 to 74	30 to 74
	6 to 12 years	36 to 77	36 to 77
	12 to 18 years	41 to 76	41 to 76
	18 to 150 years	50 to 70	50 to 70
Neutrophil Number (K/mm³)	0 to 30 days	1.6 to 11.4	1.6 to 11.4
(Equivalent units: 10³/microliters)	30 days to 6 months	1.2 to 8.4	1.2 to 8.4
	6 months to 2 years	1.4 to 9.0	1.4 to 9.0
	2 to 6 years	2.0 to 7.1	2.0 to 7.1
	6 to 12 years	2.0 to 7.8	2.0 to 7.8
	12 to 18 years	2.8 to 11.1	2.8 to 11.1
	18 to 150 years	1.8 to 7.7	1.8 to 7.7
Lymphocytes %	0 to 30 days	10 to 59	10 to 59
	30 days to 6 months	30 to 70	30 to 70
	6 months to 2 years	30 to 70	30 to 70
	2 to 6 years	20 to 70	20 to 70
	6 to 12 years	13 to 45	13 to 45
	12 to 18 years	20 to 41	20 to 41
	18 to 150 years	18 to 42	18 to 42
Lymphocytes Number (K/mm³)	0 to 30 days	0.8 to 8.5	0.8 to 8.5
(Equivalent units: 10³/microliters)	30 days to 6 months	1.2 to 8.8	1.2 to 8.8
	6 months to 2 years	1.1 to 7.5	1.1 to 7.5
	2 to 6 years	0.5 to 5.0	0.5 to 5.0
	6 to 12 years	0.8 to 3.4	0.8 to 3.4
	12 to 18 years	0.4 to 3.2	0.4 to 3.2
	18 to 150 years	1.0 to 4.8	1.0 to 4.8
Monocyte %	0 to 30 days	1 to 23	1 to 23
	30 days to 6 months	2 to 20	2 to 20
	6 months to 2 years	3 to 16	3 to 16
	2 to 6 years	4 to 14	4 to 14
	6 to 12 years	3 to 13	3 to 13
	12 to 18 years	3 to 13	3 to 13
	18 to 150 years	3.5 to 9.0	3.5 to 9.0
Monocyte Number (K/mm³)	0 to 30 days	0.1 to 5.0	0.1 to 5.0
(Equivalent units: 10³/microliters)	30 days to 2 years	0.2 to 2.7	0.2 to 2.7
	2 to 18 years	0.3 to 1.3	0.3 to 1.3
	18 to 150 years	0.1 to 0.9	0.1 to 0.9
Eosinophil %	0 to 18 years	0 to 6	0 to 6
Eosinophil %	18 to 150 years	1 to 3	1 to 3
Eosinophil Number (K/mm³)	0 to 6 months	0.0 to 0.9	0.0 to 0.9
(Equivalent units: 10³/microliters)	6 months to 18 years	0.0 to 0.3	0.0 to 0.3
	18 to 150 years	0.0 to 0.5	0.0 to 0.5
Basophil %	0 to 18 years	0 to 2	0 to 2
Basophil %	18 to 150 years	0 to 2	0 to 2
Basophil Number (K/mm³)	0 to 18 years	0.0 to 0.2	0.0 to 0.2
(Equivalent units: 10³/microliters)	18 to 150 years	0.0 to 0.1	0.0 to 0.1
IG%	0 to 14 days	0.0 to 1.9	0.0 to 1.9
	14 to 30 days	0.0 to 1.3	0.0 to 1.3
	30 days and older	0.0 to 1.0	0.0 to 1.0
IG# (K/mm³⁾	0 to 14 days	0 to 0.28	0 to 0.28
(Equivalent units: 10³/microliters)	14 to 30 days	0 to 0.22	0 to 0.22
	30 days and older	0 to 0.10	0 to 0.10
Metamyelocytes %	0 to 150 years	less than 1	less than 1
Myelocytes %	0 to 150 years	0	0
Promyelocytes %	0 to 150 years	0	0
Atypical Cells %	0 to 150 years	0	0

Comments:

This test is only performed at The Center for Health and Healing 2 (CHH2) Laboratory. To order tests in Epic, type "CHH" in the order box. All tests performed at CHH will pop-up.
Clotted specimens are unacceptable. Manual slide review will be performed and resulted if indicated by automated instrument report.

Synonyms:

CBC with Diff
Complete Blood Cell Count with Differential

Orderable EAP code:

LAB01064

Billable EAP Codes:

80001810 x 1

CPT Codes:

87027 x 1

Lab Section:

Center for Health and Healing (CHH)

Includes:

RBC, Hematocrit, Hemoglobin, Platelet, WBC

Turnaround Time:

Urgent and Routine: 45 Minutes

Test Schedule:

Monday through Saturday, 6:30 am to 6:00 pm.
Sunday, 7:00 am to 4:30 pm.

Critical Values:

WBC (K/mm3): less than 2.0, greater than 40.0
HGB (g/dL): less than 6.6, greater than 20.0
HCT (%): less than 19.8, greater than 60.0
Platelets (K/mm3): less than or equal to 10, greater than or equal to 1000
Presence of 5% or more atypical cells with no previous on smears.

Specimen Requirements:

3.0 mL blood in a LAVENDER top tube.
Room temperature (21 to 25 degrees C), stable up to 24 hours.

Pediatric Specimen Requirements:

0.5 mL blood in a 1.5 mL LAVENDER top tube.
Room temperature (21 to 25 degrees C), stable up to 24 hours.

Reference Range:

HEMATOLOGY	Age	Male	Female
WBC - White Blood Count (K/mm³)	0 to 30 days	5.5 to 19.9	5.5 to 19.9
(Equivalent units: 10³/microliters)	30 days to 6 months	7.4 to 16.3	7.4 to 16.3
	6 months to 2 years	6.3 to 14.8	6.3 to 14.8
	2 to 6 years	5.0 to 13.2	5.0 to 13.2
	6 to 12 years	4.8 to 11.8	4.8 to 11.8
	12 to 18 years	4.9 to 15.5	4.9 to 15.5
	18 to 150 years	3.5 to 10.8	3.5 to 10.8
RBC - Red Blood Count (M/mm³)	0 to 30 days	3.1 to 5.3	3.1 to 5.3
(Equivalent units: 10⁶/microliters)	30 days to 6 months	2.7 to 5.4	2.7 to 5.4
	6 months to 2 years	3.7 to 5.3	3.7 to 5.3
	2 to 6 years	3.9 to 5.3	3.9 to 5.3
	6 to 12 years	4.0 to 5.2	4.0 to 5.2
	12 to 18 years	4.5 to 5.3	4.1 to 5.1
	18 to 150 years	4.5 to 6.0	4.0 to 5.2
Hemoglobin g/dL	0 to 30 days	10.0 to 18.0	10.0 to 18.0
	30 days to 6 months	9.5 to 14.0	9.5 to 14.0
	6 months to 2 years	10.5 to 13.5	10.5 to 13.5
	2 to 6 years	11.5 to 13.5	11.5 to 13.5
	6 to 12 years	11.5 to 15.5	11.5 to 15.5
	12 to 18 years	13.0 to 16.0	12.0 to 16.0
	18 to 150 years	13.5 to 17.5	12.0 to 16.0
Hematocrit %	0 to 30 days	31.0 to 55.0	31.0 to 55.0
	30 days to 6 months	28.0 to 42.0	28.0 to 42.0
	6 months to 2 years	33.0 to 39.0	33.0 to 39.0
	2 to 6 years	34.0 to 40.0	34.0 to 40.0
	6 to 12 years	35.0 to 45.0	35.0 to 45.0
	12 to 18 years	37.0 to 49.0	36.0 to 46.0
	18 to 150 years	41.0 to 53.0	36.0 to 46.0
MCV - Mean Red Cell Volume (fL)	0 to 3 days	95 to 121	95 to 121
	4 to 30 days	85 to 126	85 to 126
	30 days to 2 months	77 to 115	77 to 115
	2 to 6 months	74 to 108	74 to 108
	6 months to 2 years	70 to 86	70 to 86
	2 to 6 years	75 to 87	75 to 87
	6 to 12 years	77 to 95	77 to 95
	12 to 18 years	78 to 100	78 to 100
	18 years and older	80 to 100	80 to 100
MCH - Mean Cell Hemoglobin (pg)	0 to 2 weeks	29 to 39	29 to 39
	2 weeks to 6 months	26 to 35	26 to 35
	6 months to 14 years	25 to 30	25 to 30
	14 years and older	27 to 34	27 to 34
MCHC - Mean Cell Hemoglobin Conc (g/dL)	0 to 2 weeks	28 to 36	28 to 36
	2 weeks to 6 months	29 to 36	29 to 36
	6 months to 6 years	30 to 36	30 to 36
	6 years and older	32 to 36	32 to 36
RDW-CV - Red Cell Distribution Width (%)	0 to 150 years	11.6 to 14.4	11.6 to 14.4
RDW-SD - Red Cell Distribution Width (fL)	0 to 150 years	35.1 to 46.3	35.1 to 46.3
Platelet Count (K/mm³)	0 to 30 days	250 to 450	250 to 450
(Equivalent units: 10³/microliters)	30 days to 2 years	250 to 600	250 to 600
	2 to 12 years	200 to 450	200 to 450
	12 years and older	150 to 400	150 to 400
MPV - Mean Platelet Volume (fL)	0 to 150 years	7.2 to 12.3	7.2 to 12.3
NRBC – Nucleated Red Blood Cells (%)	0 to 150 years	0 to 0.3	0 to 0.3
NRBC – Nucleated Red blood Cells (#)	0 to 150 years	0 to 0.02	0 to 0.02

Comments:

This test is only performed at The Center for Health and Healing 2 (CHH2) Laboratory. To order tests in Epic, type "CHH" in the order box. All tests performed at CHH will pop-up.
Clotted specimens are unacceptable.
Manual slide review will be performed and resulted if indicated by automated instrument report.

Synonyms:

CBC
Complete Blood Count
WBC
White Blood Cell Count

Orderable EAP code:

LAB01046

Billable EAP Codes:

80001655 x 1

CPT Codes:

80051 x 1

Lab Section:

Center for Health and Healing (CHH)

Includes:

Na, K, Cl, CO2

Turnaround Time:

Urgent and Routine: 45 Minutes

Test Schedule:

Monday through Friday, 8:00 am to 5:30 pm.

Critical Values:

See individual test listings for critical values.

Specimen Requirements:

4 mL blood in a GREEN top (lithium heparin) tube.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top (lithium heparin) tube.
Room temperature (21 to 25 degrees C), stable up to 8 hours.

Reference Range:

See individual test listings for reference ranges.

Comments:

This test is only performed at The Center for Health and Healing (CHH) Laboratory. To order tests in Epic, Type "CHH" in the order box. All tests performed at CHH will pop-up.

Synonyms:

Electrolytes

Orderable EAP code:

LAB01032

Billable EAP Codes:

80001688 x 1

CPT Codes:

81025 x 1

Lab Section:

Center for Health and Healing (CHH)

Turnaround Time:

Urgent and Routine: 60 Minutes

Test Schedule:

Monday through Friday, 8:00 am to 5:30 pm.

Units:

Positive/Negative

Interpretation:

Detects the presence of greater than or equal to 20 mlU/mL hCG as positive and less than 20 mlU/mL hCG as negative.

Specimen Requirements:

1 mL of fresh urine.
Refrigerate (2 to 8 degrees C), stable for up to 72 hours.

Pediatric Specimen Requirements:

Minimum sample volume 300 microliters.
Refrigerate (2 to 8 degrees C), stable for up to 72 hours.

Reference Range:

50% of healthy, normal, pregnant females should have an hCG of 20 mIU/mL or greater at the time of the first missed period.
Healthy males and non-pregnant females should be negative for urine hCG.

Synonyms:

Pregnancy Test
Urine HCG

Orderable EAP code:

LAB01030

Billable EAP Codes:

80001856 x 1

CPT Codes:

85610 x 1

Lab Section:

Center for Health and Healing (CHH)

Turnaround Time:

Routine: 2 hours

Urgent: 1 hour

Test Schedule:

Monday through Friday 6:30 am to 6:30 pm

Saturday through Sunday 7:00 am to 3:30 pm

Units:

INR

Critical Values:

5.0 or greater.

Specimen Requirements:

Collected by fingerstick or syringe at Center for Health and Healing (CHH2) Phlebotomy Laboratory, 1st floor.

A drop of blood must be placed immediately on the Coaguchek.

Pediatric Specimen Requirements:

Collected by fingerstick or syringe at Center for Health and Healing (CHH2) Phlebotomy Laboratory, 1st floor.

A drop of blood must be placed immediately on the Coaguchek.

Reference Range:

Normal patient 0.9 to 1.2

Anticoagulant therapy 2.0 to 3.0

High intensity anticoagulate therapy 2.5 to 3.5 (patients with mechanical valves)

Comments:

INR less than 0.8 or greater than 4.0 will have a tube collected. The provider will be contacted to see if a Core Lab INR test is requested.

Synonyms:

Coags

INR

Prothrombin Time

Protime

PT

Subscribe to Center for Health and Healing (CHH)