Blood Morphology Pathology Review
| Abbrev Code: | CMORPH | ||
| Order Code: | LAB361 | Order 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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