Test Code LAB291 HEMOGLOBIN

Important Note

Test subject to Medicare National Coverage Decision (NCD) 190.15 - Blood Counts.

Additional Codes

Orderable Codes:

Epic Code	Atlas Code	Mayo Access ID	Order LOINC
LAB291	HGB	N/A	718-7

Result Component(s):

Reporting Name	Epic Code	Atlas Code	Mayo Access ID	Result LOINC
Hemoglobin	12301000021	HGB	N/A	718-7

Specimen Information

Container	Specimen	Temperature	Collect Vol	Submit Vol	Min Vol
Lavender Top	Whole Blood	Refrigerate	2 mL	2 mL	1.5 mL
Lavender Microtainer*			0.6 mL

*While a microtainer is an optional tube type in rare circumstances, it is not recommended.

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Available STAT

Method

Automated Cell Counter

Instrumentation

Sysmex XN 9000

Reference Range

Age	Sex	Low	High	Units
≥18 years	Female	11.6	15.2	gm/dL
≥18 years	Male	13.8	17.3	gm/dL
12-17 years	Female	12.0	16.0	gm/dL
12-17 years	Male	13.0	16.0	gm/dL
6-11 years	All	11.5	15.5	gm/dL
2-5 years	All	11.5	13.5	gm/dL
6-23 months	All	10.5	13.5	gm/dL
3-5 months	All	9.5	13.5	gm/dL
<3 months	All	9.0	14.0	gm/dL

Section

Hematology

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing? Yes/No

Yes

CPT Code(s)

Description	CPT Code
Hemoglobin	85018