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white cell differential (manual)
Synonyms: Differential (Manual) 
Computer Code: (DIFF)
Specimen Collection: 2 mL blood (lavender top tube). 
Minimum Volume: 0.5 mL 
Handling Instructions for Offsite Areas: Refrigerate. Transport within 8 hours. 
Reference Values: Adults: Neutrophil: 38-56% Lymphocyte: 28-42% Monocyte: 4.0-8.5% Eosinophil: 0-5% Basophil: 0-1% Imma Granulocyte: 0.0-1% Bands: 0-11% Atyp Lymph: 0-1% Neut Abs: 1.5-5.2 10^3/uL Lymph Abs: 1.1-3.9 10^3/uL Mono Abs: 0.2-0.8 10^3/uL Bands Abs: 0.0-1.0 10^3/uL Eos Abs: 0.0-0.5 10^3/uL Baso Abs: 0.0-0.1 10^3/uL IMG Abs: 0.0-0.1 10^3/uL Alym Abs: 0.0-0.1 10^3/uL NRBC: None (0.0-0.0)% NRBC Abs: 0.0 10^3/uL Pediatrics: Neutrophil: 12-18 yrs = 32-50% 6-12 yrs = 27-40% 3 mo-6 yrs = 25-45% 14 days-3 mo = 32-60% 0-13 days = 17-22% Lymphocytes: 12-18 yrs = 31-45% 6-12 yrs = 33-65% 3 mo-6 yrs = 38-68% 14 days-3 mo = 25-55% 0-13 days = 10-63% Monocytes: 3 mo-18 yrs = 4.0-9.0% 14 days-3 mo = 2-11% 0-13 days = 0-18% Eosinophils: 0 days-18 yrs = 0-5% Basophils: 0 days-18 yrs = 0-1% Imma Granulocyte: >18 yrs = 0-1% Band: 6-18 yrs = 0-11% 3-6 yrs = 0-8% 14 days-3 mo = 0-12% 0-13 days = 0-17% Atyp Lymph = 0-1% Absolute Neutrophil Count 18 yrs = 1.5-5.2 10^3/uL 12 yrs = 1.3-4.7 10^3/uL 6 mo = 1.1-4.7 10^3/uL 3 mo = 1.0-4.9 10^3/uL 14 days = 1.3-6.7 10^3/uL 0 day = 0.7-3.7 10^3/uL Abs Lymph 12-18 yrs = 1.2-4.2 10^3/uL 6-12 yrs = 1.3-6.1 10^3/uL 3 mo-6 yrs =1.5-6.3 10^3/uL 14 days-3 mo=1.0-5.0 10^3/uL 0-13 days = 0.4-5.6 10^3/uL Abs Eos: 0-18 yrs = 0.0-0.5 10^3/uL  
Lab Code: HEM 
Requisition: C/H
Test Frequency: Daily 
Routine TAT: 4 hr 
Stat TAT: 60 min 
CPT Code(s): 85027 
LCD or NCD:  
Methodology Used: 5
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 07/28/2014
Time: 22:34:56 (24hr)