Orderable EAP code:

LAB00229

Billable EAP Codes:

80001820 x 1 (INR) 80001823 x 1 (APTT) 80001817 x 1 (Fibrinogen Level)

CPT Codes:

85610 x 1 (INR) 85730 x 1 (APTT) 85384 x 1 (Fibrinogen Level)

Lab Section:

Core Lab

Includes:

PT (INR), PTT, FIB

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

PT: INR; APTT: Seconds; Fibrinogen: mg/dL

Interpretation:

See individual tests.

Critical Values:

See individual tests

Specimen Requirements:

3.2% sodium citrate tubes are acceptable provided they are filed to the line on the manufacturers label. Tubes must be full (see comments below). Test stability: see individual tests.

Pediatric Specimen Requirements:

Add blood to 1.3 mL mark of Pediatric BLUE top tube, 3.2% sodium citrate. Test stability: see individual tests.

Reference Range:

See individual tests.

Comments:

Draw volume is critical due to the liquid anticoagulant. Allow tubes to fill by vacuum.

• Tubes with rubber stopper: fill to line on label.
• Tubes with plastic (Hemogard) cap: the fill level is above the top of the label.
• Syringe: do not remove the vacutainer stopper. Insert the needle through the stopper and allow the tube to fill by vacuum. Do not overfill the vacutainer.
• Pediatric tubes have no vacuum. Remove the cap and add blood to the 1.3 mL mark. Do not overfill.

Synonyms:

Coagulation Panel

Coagulation Studies

Orderable EAP code:

LAB00004

Billable EAP Codes:

80001705 x 1

CPT Codes:

82374 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

mmol/L

Critical Values:

Less than or equal to 12 mmol/L and greater than or equal to 40 mmol/L.

Specimen Requirements:

4 mL blood in a GREEN top, lithium heparin tube.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top, lithium heparin tube.

Reference Range:

21 to 32 mmol/L

Synonyms:

Bicarbonate

CO2, Total, Plasma

Electrolytes

Orderable EAP code:

LAB00653

Billable EAP Codes:

80003046 x 1

CPT Codes:

87324 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Specimen Requirements:

Freshly passed, loose or watery stool in a leakproof container. Not appropriate for formed stool.

Pediatric Specimen Requirements:

0.5 mL stool

Reference Range:

Negative

Comments:

Keep refrigerated if transport is delayed.

Indeterminate results by this lateral flow enzyme immunoassay method will be confirmed by PCR method with an additional charge.

Synonyms:

C difficile Toxin

C. diff

C. difficile Toxin Assay

Clostridium difficile toxin

Orderable EAP code:

LAB00019

Billable EAP Codes:

80001715 x 1

CPT Codes:

82550 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

U/L

Specimen Requirements:

Acceptable Specimen Sources: 
4 mL blood in a GREEN top, lithium heparin tube.
4 mL blood in a RED top tube. 

 

Pediatric Specimen Requirements:

Acceptable Specimen Sources: 
0.5 mL in a 1.0 mL GREEN top, lithium heparin tube.
0.5 mL in a 1.0 mL blood in a RED top tube. 

 

Reference Range:

	Female	Male	Unspecified
Up to 6 Months	0 to 379 U/L	0 to 379 U/L	None
6 Months up to 5 Years	0 to 278 U/L	0 to 278 U/L	None
5 Years up to 20 Years	0 to 223 U/L	0 to 223 U/L	0 to 223 U/L
20 Years up to 150 Years	33 to 206 U/L	43 to 349 U/L	33 to 349 U/L

Comments:

Expiration Time: 3 days

Synonyms:

CK
Cpk

Orderable EAP code:

LAB00015

Billable EAP Codes:

80001710 x 1

CPT Codes:

82436 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine and Urgent: 8 Hours 

Test Schedule:

24 hours, 7 days a week.

Units:

mmol/col time

Specimen Requirements:

Total collection, 24 hr urine container. Refrigerate during collection.

Pediatric Specimen Requirements:

0.5 mL in a 4 mL RED top tube or urine sample cup

Reference Range:

110 to 250 mmol/d

Synonyms:

Electrolytes, Urine, Cl

Orderable EAP code:

LAB00013

Billable EAP Codes:

80001709 x 1

CPT Codes:

82435 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

mmol/L

Critical Values:

None

Specimen Requirements:

4 mL blood in a GREEN top Lithium Heparin LIHEP tube.
4 mL blood in a RED top tube. 

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top Lithium Heparin LIHEP tube.
0.5 mL in a 1.0 mL RED top tube.

Reference Range:

97 to 108 mmol/L

Comments:

Specimen Stability: Plasma/serum separated from the cells by a gel barrier or stored in an aliquot tube is stable for 7 days.

Synonyms:

Electrolytes Plasma
CLS

Orderable EAP code:

LAB00700

Billable EAP Codes:

80001837 x 1

CPT Codes:

89051 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Critical Values:

WBC greater than or equal to 25,000/cu mm; Intracellular Bacteria; Malignant Cells; Atypical Cells if no previous.

Specimen Requirements:

3 mL synovial fluid in a LAVENDER top tube

Pediatric Specimen Requirements:

1 mL synovial fluid in a 3 mL LAVENDER top tube

Reference Range:

WBC less than or equal to 200 cu mm. Neutrophils less than or equal to 25%.

Comments:

See also Synovial Fluid, Crystals and/or Synovial Fluid Examination.

Cell counts will be attempted on all fluids sent. However, specimen volume and quality may affect or prevent testing (i.e. specimens with small clots will be tested and results reported with a disclaimer that results may be affected, but specimens that are fully clotted cannot be counted). 

CSF and body fluid specimens should be examined within 1 hour of collection; if it can't be examined within 1 hour, refrigerate. Stable for 8 hours at 2 to 8 C (although there can be cell deterioration).

Synonyms:

Synovial Fluid, Cell Count And Differential

Orderable EAP code:

LAB00267

Billable EAP Codes:

80001835 x 1

CPT Codes:

89051 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Critical Values:

Adults: WBC greater than or equal to 20/cu mm; Intracellular Bacterial; Malignant Cells; Atypical Cells if no previous.

Neonates: greater than or equal to 30/cu mm: Intracellular Bacterial; Malignant Cells; Atypical Cells if no previous.

Specimen Requirements:

2 mL CSF in a CSF vial.

Pediatric Specimen Requirements:

0.5 mL CSF in a CSF vial or sterile container.

Reference Range:

Adults: WBC 0 to 5/cu mm

Neonates (younger than 60 days): WBC 0 to 29/cu mm

Comments:

Cell counts will be attempted on all fluids sent. However, specimen volume and quality may affect or prevent testing (i.e. specimens with small clots will be tested and results reported with a disclaimer that results may be affected, but specimens that are fully clotted cannot be counted). 

CSF and body fluid specimens should be examined within 1 hour of collection; if it can't be examined within 1 hour, refrigerate. Stable for 8 hours at 2 to 8 C (although there can be cell deterioration).

Synonyms:

CSF, Cell Count and Differential, CSF

Orderable EAP code:

LAB00243

Billable EAP Codes:

80001833 x 1

CPT Codes:

89051 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Critical Values:

Intracellular Bacteria; Malignant Cells; Atypical Cells if no previous.

Specimen Requirements:

Body Fluids (i.e., ascites, pleural, peritoneal):

2 mL body fluid in a LAVENDER top tube or 2 mL body fluid in a sterile container with EDTA added.

Pediatric Specimen Requirements:

1 mL body fluid in a LAVENDER top tube or sterile tube

Reference Range:

WBC 0 to 1000/cu mm

Comments:

Cell counts will be attempted on all fluids sent. However, specimen volume and quality may affect or prevent testing (i.e. specimens with small clots will be tested and results reported with a disclaimer that results may be affected, but specimens that are fully clotted cannot be counted). 

CSF and body fluid specimens should be examined within 1 hour of collection; if it can't be examined within 1 hour, refrigerate. Stable for 8 hours at 2 to 8 C (although there can be cell deterioration).

Orderable EAP code:

LAB00681

Billable EAP Codes:

80001809 x 1

CPT Codes:

85025 x 1

Lab Section:

Core Lab

Includes:

RBC; Hematocrit; Hemoglobin; Platelet; WBC; WBC Differential

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

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.

Pediatric Specimen Requirements:

0.5 mL in a 0.5 mL LAVENDER top tube.

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
	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
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
	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
	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:

Clotted specimens are unacceptable. Manual slide review will be performed and resulted if indicated by automated instrument report.

Specimen stability: less than or equal to 24 hours at room temperature.

Synonyms:

CBC with Diff

Complete Blood Cell Count with Differential