Hb Disorder Thalassemia Reflex Pnl w/CBC

General Information

Lab Name

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.

Forms & Requisitions

Thalassemia Data Sheet

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

Guidelines

Red Cell Disorders Laboratory

Method

See individual components

Reference Range

See individual components

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

Receiving Instructions: 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.

Misc Sendout

Performance

Lab Department

Frequency

CBC, as received Thalassemia assays, Monday - Friday

Available STAT?

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

Billing & Coding

CPT Codes: 83020x2, 83021, 85027
LOINC: 18723-7
Interfaced Order Code: UOW4931