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Test Code LAB3720 ONC CBC DIFF

Important Note

This order is specific to oncology patients only. Manual differential and smear review is not performed. nRBC count is not included. 

Add on for manual differentials or smear review is not permitted. 

Clinical System Name

Oncology Automated CBC DIFF

Description

This test includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW, PLT, PMV, automated white blood cell differential, and Absolute Neutrophil Count (ANC).

Synonyms

ONC CBC Diff

LAB3720

Sample Requirements

Specimen: Whole Blood

Container(s): Lavender/EDTA

Preferred Vol: 2.0 - 4.0 mL

Minimum volume: 0.5 mL Microtainer, 1.0 mL Macrotainer

Availability

STAT Performed TAT
Y 24/7 1 h

Stability

Specimen Type Temperature Time
Whole blood RT

≤ 24 h

Whole blood 2-8 C

≤ 48 h

Whole blood -20 C or -70 C

N

Processing Instructions

Reject due to: Insufficient quantity, wrong sample collection, clotted cample, Age of specimen.

Spin: N

Aliquot: N

Temp: RT

Storage location: Core 5 Fridge

 

Offsite collection: Store whole blood at room temperature and transport to Children's Lab immediately. Samples >24 hours old may be rejected. 

Performing Laboratory

Seattle Children's Laboratory

Department

Department: Core Hematology

Phone Number: 206-987-2617 (Client Services)

Methodology

Method:  Sysmex XN-3000, XN-1000, & XN-350: RF/DC detection method, Flow cytometry with semiconductive laser, photometrically, SLS-hemoglobin method, hydrodynamic focusing

Analytical Volume:  0.25 mL  whole blood

CPT Codes

85025

Reference Range

As of 11/18/2025, Polymorphonuclear (Polys) and Band cell populations are no longer reported as distinct cell types. The Neutrophil Count % and the Absolute Neutrophil Count include both polymorphonuclear and band cells.

 

Please see CBC for Red cell indices reference ranges.

 

Note: No automated differential is reported when WBC <200/CMM

 

Test Age Range (Male & Female) % /CMM
Neutrophil Count % 0 - 1 Day 33 - 70    3000 - 12000
Neutrophil Count % 1 Day - 1 Week 15 - 50 2000 - 6000
Neutrophil Count % 1 Week - 1 Month 15 - 45 1500 - 5000
Neutrophil Count % 1 Month - 1 Year 15 - 45 1500 - 5000
Neutrophil Count % 1 - 4 Years 15 - 70 1500 - 7500
Neutrophil Count % 4 - 10 Years 25 - 70 1800 - 7000
Neutrophil Count % 10 - 14 Years 30 - 70 1500 - 7000
Neutrophil Count % 14 Years - Adult 40 - 75 1500 - 7000
Lymphocyte Count % 0 - 1 Day 10 - 35 2000 - 11000
Lymphocyte Count % 1 Day - 1 Week 15 - 70 2000 - 7000
Lymphocyte Count % 1 Week - 4 Years 30 - 70 3000 - 7000
Lymphocyte Count % 4 - 6 Years 20 - 70 1500 - 8500
Lymphocyte Count % 6 - 10 Years 20 - 50 1500 - 5000
Lymphocyte Count % 10 Years - Adult 20 - 40 1100 - 4500
Monocytes Count % 0 Days - 1 Month 0 - 10 0 - 1100
Monocytes Count % 1 Month - Adult 0 - 10 0 - 900
Eosinophil Count % 0 - 24 Hrs 0 - 4 0 - 400
Eosinophil Count % 1 Day - 1 Week 0 - 4 0 - 500
Eosinophil Count % 1 Week - 1 Year 0 - 4 0 - 300
Eosinophil Count % 1 - 10 Years 0 - 4 0 - 250
Eosinophil Count % 10 Years - Adult 0 - 4 0 - 200
Basophils Count % 0 - 1 Week 0 - 1 0 - 100
Basophils Count % 1 Week - 4 Years 0 - 1 0 - 50
Basophils Count % 4 Years - Adult 0 - 1 0 - 40
Immature Granulocytes % 0 - Adult 0 - 0.7 0 - 50

Critical Values

White Blood Cell Count (WBC) <1,000/CMM or >50,000/CMM
Hemoglobin (HGB) < 6.0 g/dL
Platelet Count (PLT) < 30,000/CMM or >1,000,000/CMM
Absolute Neutrophil Count (ANC) < 500/CMM