Complete Blood Count without Differential (CBC WITHOUT DIFF, aka hemogram)
| PATIENT INFO |
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| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Complete Blood Count without Differential (CBC WITHOUT DIFF, aka hemogram) | |
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| SPECIMEN INFO |
| Collection Date & Time: |
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Test ID :
HEGRM
Test Workstation :
AHEM1
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Collection Volume:
2.0 mL (minimum 0.3 mL)
Cause for Rejection:
Specimen hemolyzed, clotted, diluted with IV fluid, or collected in heparin; tubes improperly filled; specimen at RT > 8 hrs or 48C > 24 hrs
Storage:
Refrigerated
Availability:
Daily, 24 hours; STAT
Methodology:
Impedance measurement with Optical Flow fluorescence measurement and Spectrophotometry
Special Instructions:
Indicate clearly if a specimen has been drawn from an arterial line or from a line that has been rinsed with heparin.
Lab/Phone:
330-543-8416
TAT:
4 hours
Additional Info:
Reference ranges are available on patient report
CPT Code:
85027
Profile Includes:
Synonyms:
Blood Count Profile; Cell Profile; CBC WO Diff
