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Test Code HH Hemoglobin and Hematocrit

Specimen Type

Blood

Container/Tube

Lavender top, EDTA

Turnaround Time

4 hours

STAT Days and Times Performed

24/7

Days and Times Performed

24/7

Method Name

Sysmex XN automated hematology analyzer

Test Includes

Hemoglobin and Hematocrit

Preferred Volume

4 mL

STAT Turnaround Time

1 hour

Critical Results

HCT: <20 or >60 (%)
HGB: <6.0 or > 20.0 (g/dL)

Test Limitations

Transportation temperature: specimen cannot be frozen or heated

Rejection criteria: clotted or short specimen volume; microclot formation; improper tube

Coverage Information

CMS has established a national coverage policy (NCD) for Medicare for this test as of November 25, 2002. Please document medical necessity. 

Fee Code

53227, 53228

Specimen Minimum Volume

  • 2 mL blood in 4 mL tube
  • 1.5 mL blood in 3 mL tube.
  • If a microvette is collected, the minimum volume is 250 µL

CPT

85014, 85018

Reference Values

 

Parameter

Age Male &
Female
Male Female Unit

HGB

0 days 13.2 – 19.1     g/dL
  1 day 14.2 – 22.1     g/dL
  7 days 13.2 – 21.1     g/dL
  14 days 12.3 – 20.1     g/dL
  1 month 9.8 – 17.6     g/dL
  2 months 8.8 – 13.7     g/dL
  3 months 9.3 – 13.2     g/dL
  6 months 10.3 – 13.2     g/dL
  2 years 11.3 – 13.2     g/dL
  6 years 11.3 – 15.2     g/dL
  12 years & up   13.5 – 17.5 11.5 – 15.5 g/dL

Parameter

Age Male &
Female
Male Female  

HCT

0 days 42 – 60     %
  1 day 45 – 67     %
  7 days 42 – 66     %
  14 days 39 – 63     %
  1 month 31 – 55     %
  2 months 28 – 42     %
  3 months 29 – 41     %
  6 months 33 – 39     %
  2 years 34 – 40     %
  6 years 35 – 45     %
  12 years & up   41 – 53 36 – 47 %

 

UCMC Collection Instructions

Refrigerate sample if transportation is delayed