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HGM
COMPLETE BLOOD COUNT (WITHOUT DIFFERENTIAL), BLOOD

Test Code HGM 
Test COMPLETE BLOOD COUNT (WITHOUT DIFFERENTIAL), BLOOD 
Methodology Impedance 
Description Useful for the detection of infection or anemia.
Includes WBC, RBC, Hgb, Hct, MCH, MCHC, PLT, RDWSD, and RDW-CV.

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 
CPT Code(s) 85027  

Special Instructions

References