Hb Disorder Thalassemia Reflex Pnl w/CBC

General Information

Lab Name

Hb Disorder Thalassemia Reflex Pnl w/CBC

Lab Code

HBTHLI

Epic Name

(not orderable in Epic)

Description

CBC & diagnostic testing for thalassemia and hemoglobinopathies with interpretation. Includes hemoglobin electrophoresis by isoelectric focusing, HPLC quantification of hemoglobins F and A2, and quantification of hemoglobins S, C, D, or E if present. Additional testing is performed for patients with microcytic RBC indices at added cost.

Synonyms

Hemoglobin Phenotype, Hemoglobin Variant Interpretation, Hemoglobinopathy, Microcytic RBC, Quantitative Hemoglobin Electrophoresis, red cell, Synonyms: Hb Elp, Thal/Hemoglobinopathy, Thalassemia Reflex with CBC

Components

Code Name
CBC CBC (Hemogram)
WBC WBC
RBC RBC
HB Hemoglobin
HCT Hematocrit
MCV MCV
MCH MCH
MCHC MCHC
PLT Platelet Count
RDWCV RDW CV
HBTHAL Hb Disorder Thalassemia Reflexive Panel
HBA2Q Hemoglobin A2 Quantification by HPLC
HBF Hemoglobin F Quant by HPLC
HBDET Hemoglobins Detected
ZZNTRP Thal./Hemoglobinopathy Interp.
ZZNTF Thalassemia Screen Result
DATE1 Date Formal Report Sent
PATHF Pathologist Consult Hb/Thal Testing

Interpretation

Method

See individual components

Reference Range

See individual components

Guidelines

Ordering & Collection

Specimen Type

Blood

Collection

3 mL LAVENDER TOP tube


Pediatric draw: 3 LAVENDER TOP MICROTAINERS

Forms & Requisitions

Thalassemia Data Sheet

Quantity

requested: 3 mL whole blood
minimum: 2.5 mL whole blood

Processing

For outside locations, see HBTHAL. If CBD or CBANC or CBC is also ordered, Login using mnemonic: HBTHAL. During the login, please enter exact birthdate as specified on Data Sheet.Processing: You will receive 2 receipt labels, LP-Lavender for CBC, LH-Lavender for HBTHAL


CBC: Lavender top MUST be processed by Lab within 24 hour of blood collection.
Accept even with less sample, or without the RCD Data Sheet. RCD will determine which tests can be done with the limited sample.

UW-MT Instructions, as above plus: Hematology will return Lavender tube used for CBC back to SPS to forward to RCD.

Stability for Thalassemia tests: EDTA: Refrigerated, 7 days. Ambient, 2 days

Unacceptable: Other anticoagulants, Frozen specimens.

Performance

LIS Dept Code

Performing Location(s)

CL Renton Core Lab
206-520-4600

Clinical Lab, Room 170
1601 Lind Ave SW
Renton, WA 98057
FHCC FHCC Peninsula Laboratory

19917 7th Ave NE Ste 100, Poulsbo, WA 98370-6555

Phone: 360-842-5116
Fax: 360-842-5150
Hours of Operation: 8:00 a.m. - 5:00 p.m.
FHCC Fred Hutch Alliance Lab
206-606-1088

825 Eastlake Ave, Seattle, WA 98109

Fax: 206-606-2027
Hours of Operation: 6:00 a.m. - 10:00 p.m.

Includes satellite labs:
• SAIM - Sloan Clinic 1, 6th Floor
• FHH3 - Sloan Clinic 2, 3rd Floor
• FHH4 - Sloan Clinic 2, 4th Floor
FHCC Fred Hutch Community Lab, Evergreen Campus
425-441-2640

10240 NE 128th St
Kirkland, WA 98034

Fax: 425-441-2707
Hours of Operation: 7:30 a.m. - 5:00 p.m.
HMC Hematology
206-520-4600

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420
HMC Red Cell Disorders
206-520-4600

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420
UW-MT Hematology
206-520-4600

Clinical Lab, Room NW220,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195
UW-NW Main Lab
206-668-1344

UW Medical Center – Northwest
1550 N 115th Street, A200
Seattle, WA 98133

Frequency

CBC, as received Thalassemia assays, Monday - Friday

Available STAT?

No

Billing & Coding

CPT codes

83020x2, 83021, 85027

LOINC

18723-7

Interfaced Order Code

UOW4931