Reticulocyte Count, Automated
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Reticulocyte Count, Automated | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
RTCA
Test Workstation :
AHEM1
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Collection Volume:
2.5 mL EDTA (minimum 0.2 mL BD microtainer)
Cause for Rejection:
Specimen more than 12 hours old; specimen hemolyzed, clotted, or
diluted with IV fluid, specimens at room temperature >8 hours, or refrigerated (4C) specimens >24 hours
Storage:
Refrigerated
Availability:
Daily, 24 hours; STAT
Methodology:
Fluorescence, Forward Scatter
Lab/Phone:
330-543-8416
TAT:
8 hours
Additional Info:
Reference range:
0-180 days < 5.0%
181 days â end of life: 0.5 - 2.0%
CPT Code:
85045
Synonyms:
Retic Count
