Blood Morphology Pathology Review


Abbrev Code:CMORPH   
Order Code:LAB361Order 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 Codes: 85060 x1, 85060-26 x1, 85060 x1
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
Container:Purple (EDTA), Microscope slides
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 4 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 UM Special Hematopathology (P)  (Lakes, Ridges, Southdale, St. John's, UMMC East Bank, UMMC/UMMCH-West Bank, Woodwinds)


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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