Blood Morphology Pathology Review


Sunquest Code:BLDMPH  
Epic Code:LAB3616Epic Name:Blood morphology pathologist review
Order Instructions:Order a CBC, differential, and reticulocyte concurrently. Order a parasite stain (LAB3697) if looking for anaplasma, babesia, ehrlichia or malaria.
Synonyms:Blood Smear; Peripheral Smear; BLDMPH
Methodology:Microscopic
CPT Code:----------CPTCODES HERE----------
Test Includes:Examination of Wright-Giemsa stained peripheral blood smear by pathologist with professional interpretive report. A CBC, differential and reticulocyte count are performed by Automated Hematology at the collection site's laboratory in conjunction with the slide preparation (see processing instructions).
Turnaround Time:Performed Mon-Fri, 0730-1600; results are available in 24 hours.Outside of these hours, the on-call hematopathology fellow may be paged for preliminary interpretation.
Special Instructions:Provide patient's age, pertinent history, and requesting staff physician on request form.


Collection Instructions

Specimen:Blood smears and blood
Optimal Volume:1-2 mL
Minimum\Peds Volume:0.5 mL
Collection Instructions:Order a CBC, differential and reticulocyte concurrently.
Causes for Rejection:Clotted specimen. Blood smears must be made within 4 hours of collection.


Processing and Shipping

Specimen Processing:Prepare 6-8 unstained blood smears within 4 hours of specimen collection. Perform a CBC, differential and reticulocyte count simultaneously, from the same blood collection tube, within 4 hours of collection. Store slides at room temperature.
Shipping Instructions:Ship slides in protective slide holder at room temperature. Ship EDTA blood at refrigerated temperature.
Test Performed at or Referral Lab Hematopathology  (UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Southdale - FSH, UMMC/UMMCH-West Bank)


Interpretive

Reference Range:Interpretive report by hematopathologist or pathologist.
Use:Evaluation of patients with suspected disorders of the hematopoietic system including all forms of leukemia, anemia, lymphoma and myeloma.


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