HEMOGLOBIN: (089-0017)

 Monitoring hematological status when Complete Blood Cell (CBC) parameters are not required.

 HGB

 Part of an automated multi-parameter counting system.  The hemoglobin count is measured using a sodium lauryl sulfate method. 

 Samples are accepted 24 hours per day at Sample Management, 5.136 McCullough

 STAT: 1 hour; Routine: 4 hours

Special Instructions: ECMO specimens should be delivered directly to the Hematopathology lab (5.142 McCullough)

Collect: Routine venipuncture; Collect in EDTA (lavender tube). Micro-collection is acceptable.

Specimen: Blood

Volume: Lavender Tube 4.0 ml or volume stated on collection tube.  Microtainer 250 u/L

Minimum Volume: 90% of  Stated tube volume

Storage/Transport: Stable at Room Temperature for 24 hours. 

Stability: Stable Refrigerated for 36 hours

Causes for Rejection:  Clotted, QNS, identification error, hemolysis

Critical Values: Hemoglobin < 7.0 g/dL (newborns), < 5.0 g/dL (children/adult)

 Interfering Substances: High WBC counts, cold agglutinins, elevated lipids, elevated chylomicrons, elevated bilirubin, inappropriate anticoagulants.

 85018 (Limited Coverage Test (NCD)

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

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