Test Code LAB296 Reticulocyte
Clinical System Name
Reticulocyte Count
Synonyms
Retic
LAB296
Description
The circulating reticulocyte count is the most convenient method for evaluating effective marrow production of erythrocytes.
Sample Requirements
Specimen: Whole Blood
Container(s): Lavender/EDTA
Preferred Vol: 1.0-3.0 mL
Minimum Vol: 0.5 mL Microtainer; 1.0 mL Macrotainer
Notes: A Lavender top/EDTA Macrotainer must contain at least 1.0 mL.
Processing Instructions
Reject due to: Insufficient Quantity, Wrong Sample Collection, Clotted Sample, Age of specimen
Spin: N
Aliquot: N
Temp: RT
Storage location: Core 5 Fridge
Off-site collection: Store whole blood at room temperature and transport to Children's Lab immediately. Samples > 24 hours old may be rejected.
Stability
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole blood | RT |
≤ 24 h |
| Whole blood | 2-8 C |
≤ 48 h |
| -20 C or -70 C |
N |
Availability
| STAT | Performed | TAT |
|---|---|---|
| Y | 24/7 | 1 h |
Performing Laboratory
Seattle Children's Laboratory
Department
Department: Core Hematology
Phone Number: 206-987-2617 (Client Services)
Methodology
Method: Sysmex XN-3000 & XN-1000: Flow cytometry with semiconductive laser
Analytical Volume: 0.25 mL whole blood
Reference Range
| Test |
Age |
Range |
| Reticulocyte |
0 - 1 Day |
1.80 - 4.60% |
| Reticulocyte |
1 Day - 1 Week |
0.10 - 0.90% |
| Reticulocyte |
1- 4 Weeks |
0.30 - 0.90% |
| Reticulocyte |
4 - 6 Weeks |
0.30 - 1.70% |
| Reticulocyte |
6 - 8 Weeks |
0.80 - 2.20% |
| Reticulocyte |
8 - 10 Weeks |
0.50 - 1.90% |
| Reticulocyte |
10 - 12 Weeks |
0.40 - 1.00% |
| Reticulocyte |
12 Weeks - Adult |
0.50 - 1.50% |
| Ret-He* | 0 - Adult | 28 pg - 38 pg |
| Raw Retic ABS | 0 - Adult | 0.018 – 0.100 M/mm3 |
*Reticulocyte hemoglobin equivalent (Ret-He) is a parameter dependent on the hemoglobin content of the reticulocytes. Ret-He is usually decreased in patients with iron deficiency anemia (IDA). IDA could be diagnosed with a sensitivity of 93% and specificity of 83% when the Ret-He is low.
CPT Codes
85045