Hematopath Consultation, Smear

Test ID: 

704384

CPT code:

85060

Synonyms:

Consult Smear
Pathologist Review
Peripheral Smear
Hematopathology Consultation, Peripheral Smear

Clinical Use:

Guidelines for clinician who has prior knowledge of patient history and abnormal labs:
• Hemolytic anemia, especially if accompanied by thrombocytopenia
• Anemia unresponsive to therapy; unexplained anemia
• Leukocyte/bone marrow disorder − pancytopenia, unexplained leukocytosis or leukopenia; leukemia
• Congenital disorders
Clinician suspects from patient history or previous abnormal labs:
• Thrombotic thrombocytopenia purpura (TTP)
• Hemolytic uremic syndrome (HUS) or other unspecified hemolytic anemia
• Leukocyte/bone marrow disorder − pancytopenia, unexplained leukocytosis or leukopenia; leukemia
• Congenital disorders
Determine qualitative and quantitative variations in white cell numbers and morphology, morphology of red cells and platelet evaluation; evaluate anemia, leukemia, and other conditions.

Specimen Type:

Whole blood and peripheral blood films made at the time of collection

Requested Volume: 

tube fill capacity AND two freshly prepared blood films

Minimum Volume: 

0.5 mL

(500 μL for pediatric microtainer capillary tubes; fill tube to capacity.)

Container Type: 

Lavender-top (EDTA) tube and glass slides

Collection:

Invert tube 8 to 10 times immediately after tube is filled at the time of collection.

Storage Instructions:

Maintain specimen at room temperature.

Stability Requirements:

Temperature

Period

Room temperature

1 day

Refrigerated

3 days

Frozen

Unstable

Freeze/thaw cycles

Unstable

Rejection Criteria

Lavender-top tube not submitted; improper labeling; transfer tubes with whole blood; specimen received with plasma removed; clotted specimen; specimen diluted or contaminated with IV fluid; specimen drawn in any anticoagulant other than EDTA; tube not filled with minimum volume; hemolysis; specimen more than 48 hours old; specimen more than 24 hours old without slides prepared at the time of collection or within 24 hours of collection

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MCI Diagnostic

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7018 South Utica Avenue

Tulsa, Oklahoma 74136

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