Hematopathology Consultation, Peripheral Smear

CPT: 85060
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Test Details

Synonyms

  • Consult Smear
  • Pathologist Review
  • Peripheral Smear

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.

Methodology

Microscopic examination

Specimen Requirements

Specimen

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

Volume

Tube filled to capacity and two freshly prepared blood films

Minimum Volume

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

Container

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

Causes for Rejection

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

Clinical Information

Special Instructions

The test request form must be completed with patient history, including pertinent clinical information and physician's name and telephone number.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
005300 Hematopath Consultation, Smear 005069 WBC 14869-2
005300 Hematopath Consultation, Smear 005068 RBC 14869-2
005300 Hematopath Consultation, Smear 005070 PLTs 14869-2
005300 Hematopath Consultation, Smear 005071 Comments/Recommendations 21026-0
005300 Hematopath Consultation, Smear 005072 Pathologist 19139-5
005300 Hematopath Consultation, Smear 005025 WBC x10E3/uL 6690-2
005300 Hematopath Consultation, Smear 005033 RBC x10E6/uL 789-8
005300 Hematopath Consultation, Smear 005041 Hemoglobin g/dL 718-7
005300 Hematopath Consultation, Smear 005058 Hematocrit % 4544-3
005300 Hematopath Consultation, Smear 015065 MCV fL 787-2
005300 Hematopath Consultation, Smear 015073 MCH pg 785-6
005300 Hematopath Consultation, Smear 015081 MCHC g/dL 786-4
005300 Hematopath Consultation, Smear 105007 RDW % 788-0
005300 Hematopath Consultation, Smear 015172 Platelets x10E3/uL 777-3
005300 Hematopath Consultation, Smear 015107 Neutrophils % 770-8
005300 Hematopath Consultation, Smear 015123 Lymphs % 736-9
005300 Hematopath Consultation, Smear 015131 Monocytes % 5905-5
005300 Hematopath Consultation, Smear 015149 Eos % 713-8
005300 Hematopath Consultation, Smear 015156 Basos % 706-2
005300 Hematopath Consultation, Smear 115398 Immature Cells N/A
005300 Hematopath Consultation, Smear 015909 Neutrophils (Absolute) x10E3/uL 751-8
005300 Hematopath Consultation, Smear 015917 Lymphs (Absolute) x10E3/uL 731-0
005300 Hematopath Consultation, Smear 015925 Monocytes(Absolute) x10E3/uL 742-7
005300 Hematopath Consultation, Smear 015933 Eos (Absolute) x10E3/uL 711-2
005300 Hematopath Consultation, Smear 015941 Baso (Absolute) x10E3/uL 704-7
005300 Hematopath Consultation, Smear 015108 Immature Granulocytes % 38518-7
005300 Hematopath Consultation, Smear 015911 Immature Grans (Abs) x10E3/uL 51584-1
005300 Hematopath Consultation, Smear 015945 NRBC % 58413-6
005300 Hematopath Consultation, Smear 015180 Hematology Comments: 18314-5
Reflex Table for Immature Cells
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115399 Immature Cells
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115247 Neutrophils % 23761-0
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115250 Lymphs % 737-7
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115251 Monocytes % 744-3
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115252 Eos % 714-6
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115253 Basos % 707-0
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115398 Immature Cells N/A
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115254 Neutrophils Absolute x10E3/uL 753-4
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115255 Lymphs (Absolute) x10E3/uL 732-8
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115256 Monocytes(Absolute) x10E3/uL 743-5
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115257 Eos (Absolute Value) x10E3/uL 712-0
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115258 Baso(Absolute) x10E3/uL 705-4
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 115260 Differential Comment 18723-7
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 005034 RBC Comment 6742-1
Reflex Table for Hematology Comments:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 115246 Differential 015171 Platelet Comment 9317-9

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