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cbc
Synonyms: Hemogram, Platelet & Differential; Complete Blood Count 
Computer Code: ABC
Specimen Collection: 2 mL blood (lavender top tube).
Pediatrics: EDTA microtainer with 500 uL (0.5 mL) blood. 
Minimum Volume: 0.5 mL 
Handling Instructions for Offsite Areas: Refrigerate. Must be received same day. 
Reference Values: MALE (Adult): WBC 4.0-9.0 THO/CMM RBC 4.5-5.7 MIL/CMM Hb 13.6-16.7 GM/DL Hct 40-49% MCV 82.3-93.2 fL MCH 27.8-31.9 UUG MCHC 32.8-35.5% RDW-CV 12.0-15.0% Plt Ct 130-350 K/CMM MPV 7.5-10.7 fL FEMALE (Adult): WBC 4.1-9.3 THO/CMM RBC 4.0-5.1 MIL/CMM Hb 11.0-14.7 GM/DL Hct 33-44% MCV 82.3-93.2 fL MCH 27.5-32.2 UUG MCHC 32.5-35.1% RDW-CV 12.0-15.0% Plt Ct 130-350 K/CMM MPV 7.5-10.7 fL For Pediatric Normal Ranges, see individual test reference values.  
Lab Code: HEM 
Requisition: C/H
Test Frequency: Daily 
Routine TAT: 4 hr 
Stat TAT: 30 min 
CPT Code(s): 85025 
LCD or NCD: (NCD) http://www.cms.hhs.gov/mcd/index_section.asp?ncd_sections=40 
Methodology Used: 5
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 09/30/2014
Time: 20:17:56 (24hr)