|Test||COMPLETE BLOOD COUNT (INCLUDES DIFFERENTIAL), BLOOD|
|Methodology||Impedance / Radio Frequency|
|Description||Useful for detecting disease states or syndromes of white blood cells, red blood cells, or platelet cell lines in peripheral blood.
Includes WBC, RBC, Hgb, HCT, MCV, MCH, MCHC, PLT, RDW-SD, RDW-CV, and automated differential. Automated differential may reflex to a manual differential if indicated by instrument flagging and would then be billed as a Hemogram and Manual Differential.
NOTE: This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policy "Blood Counts". Please verify that the diagnosis code (ICD-9) you have chosen demonstrates medical necessity for the test as documented in the physician's patient record. The CMS web site or the NorDx Limited Coverage Documentation Guide are available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD-9 code chosen.
|Specimen||Draw blood in a lavender-top (EDTA) tube. Mix well after draw, and send 1.0 mL of EDTA whole blood refrigerated. (CLOTTED OR GROSSLY HEMOLYZED SPECIMEN IS UNACCEPTABLE.)|
|Reference Values||See "CBC Reference Values"|
|Analytic Time||1 Day - Available STAT|
|Day(s) Test Set Up||Monday through Sunday|
85007 Manual Differential (if indicated)
85025 CBC with automated differential
85027 CBC without differential (if appropriate)