Hematology Blood Cell Identification Master List

1 Customer Contact Center 800-323-4040 option 1 (domestic), or 847-832-7000 option 1 (international) 3 Hematology Blood Cell Identification Master ListNote: Please read the history that accompanies the photographs before making your selection. If microorganisms, inclusions, or other intracellular findings are seen, choose an Identification that indicates their presence. 122 Neutrophil with hypersegmented nucleus240 Neutrophil with Pelger-Hu t nucleus (acquired or congenital)Lymphocytic and Plasmacytic Cells265 Lymphocyte307 Lymphocyte, large granular266 Lymphocyte, reactive (to include plasmacytoid and immunoblastic forms)162 Lymphoma cell (malignant)224 Plasma cell, abnormal223 Plasma cell, morphologically mature267 Plasma cell with inclusion (eg, Dutcher body, Russell body, etc)

2 Megakaryocytic cells and Platelets279 Erythrocyte with overlying platelet212 Megakaryocytic cell (normal, abnormal, or nuclear fragment)263 Platelet, giant285 Platelet, hypogranular171 Platelet, normal264 Platelet satellitismMicroorganisms282 Babesia268 Bacteria (cocci or rod), extracellular269 Bacteria (spirochete), extracellular270 Fungi, extracellular196 Leukocyte with Anaplasma/Ehrlichia271 Leukocyte with phagocytized bacteria231 Leukocyte with phagocytized fungi283 Microfilaria156 Plasmodium sp. (malaria)233 Protozoan (non-malarial)311 Parasite(s) seen, referred for definitive Identification .

3 (Code 311 should be used only if you would routinely send cell in question to an outside laboratory with another CLIA number.)Miscellaneous118 Alder anomaly inclusion174 Blast cell119 Chediak-Higashi anomaly inclusion200 Cryoglobulin117 Mast cell184 Metastatic tumor cell or tumor cell clump204 Mitotic figure246 Myeloblast with Auer rod213 Squamous epithelial cell/endothelial cellArtifacts192 Basket cell/smudge cell279 Erythrocyte with overlying platelet191 Neutrophil necrobiosis (degenerated neutrophil)220 Stain precipitate108 Immature or abnormal cell, would refer for Identification (Code 108 should be used only if you would routinely send the cell in question to an outside laboratory with another CLIA number.)

4 Erythrocytic cells , Inclusions, and Morphology140 Acanthocyte (spur cell)152 Basophilic stippling (coarse)245 Bite cell299 Blister cell/Prekeratocyte287 Echinocyte (burr cell, crenated cell)135 Erythrocyte, normal279 Erythrocyte with overlying platelet288 Fragmented red cell (schistocyte, helmet cell, keratocyte, triangular cell)153 Hemoglobin C crystal155 Howell Jolly body (Wright stain)229 Macrocyte oval or round (excluding polychromatophilic red cells )249 Microcyte (with central pallor)253 Nucleated red cell, normal or abnormal morphology146 Ovalocyte (elliptocyte)157 Pappenheimer bodies (iron stain)225 Pappenheimer bodies, presumptive (Wright stain)134 Polychromatophilic (non-nucleated) red cell178 Red cell agglutinates188 Rouleaux147 Sickle cell (drepanocyte)148 Spherocyte149 Stomatocyte150 Target cell (codocyte)151 Teardrop cell (dacrocyte)RBC Morphology (for VPBS and EHE Surveys only)296 Anisocytosis298 Hypochromasia294 PoikilocytosisMyeloid.

5 Granulocytic and Monocytic Cells208 Basophil, any stage209 Eosinophil, any stage236 Monocyte237 Monocyte, immature (promonocyte, monoblast)246 Myeloblast with Auer rod121 Neutrophil, giant band or giant metamyelocyte112 Neutrophil, metamyelocyte111 Neutrophil, myelocyte191 Neutrophil, necrobiosis (degenerated neutrophil)161 Neutrophil, polyploid241 Neutrophil, promyelocyte238 Neutrophil, promyelocyte, abnormal with/without Auer rod(s)284 Neutrophil, segmented or band259 Neutrophil, toxic (to include toxic granulation and/or D hle bodies, and/or toxic vacuolization)239 Neutrophil with dysplastic nucleus and/or hypogranular cytoplasmAPN1 WBC Differential - % VPBS-01 Cell ClassificationsExceptionCodeResults must be received at the CAP no later thanmidnight, Central Time by the due date below.

6 Cell ClassificationsExceptionCodeVPBS-01 VPBS-A2012 Customer Contact Center 800-323-4040 option 1 (domestic),or 847-832-7000 option 1 (international) (all cells not listed and cellsnot differentiated by your labinto the categories listedabove [eg, lymphoma cells ])If it is your laboratory'sprotocol to note "Other cells "you may do so on the Use ofOther Decreased102 Adequate/normal103 IncreasedPlatelet EstimatenRBC/100 WBCM yelocytesPromyelocytesBlastsOtherVPBS-01 MetamyelocytesBasophilsEosinophilsMonocy tesLymphocytes, reactiveLymphocytesNeutrophils (segs or bands) Peripheral Blood Smear Survey Result Form CAP 2012 VPBS-01 Case HistoryTo display the online images, select the View Image link on the result form details page.

7 !VPBS-A 01:This peripheral Blood smear is from a 54-year-old female with shortness of breath and lethargy, one week status post a viral syndrome, brought tothe Emergency Room by her husband. Laboratory data include: WBC = 10 /L; Hb = g/dL; MCV = 95 fl; MCHC = gm/dL;RDW = %; and PLT = 20 x10 /L; Creatinine = mg/dL; BUN = 115 mg/dL. Identify the arrowed object(s) in each image.(PERIPHERAL Blood , WRIGHT-GIEMSA)9933416 Page 1*2525613980102*KIT25256139 8 01 02 CAP # 1255901 - 03 SEQ # 01 Products: VPBSSTONY BROOK UNIVERSITY MEDICAL CENTERNANCY YENTEL# 631-444-2600 FAX# 631-444-2653 VPBS-A 07:This peripheral Blood smear is from a 13-year-old female, with a diagnosis of Sanfilippo syndrome and autism.

8 Laboratory data include:WBC = x 10 /L; HGB = g/dL; MCV = fl; RDW = %; PLT = 111 x10 /L. Identify the arrowed object(s) in each image.(PERIPHERAL Blood , WRIGHT-GIEMSA)APN2 Identification code040030020010 Results must be received at the CAP no later thanmidnight, Central Time by the due date below:Cell IdentificationTo display the online images, select the View Image link on the result form details page.!100 Exception CodeVPBS-02 VPBS-03 VPBS-04 VPBS-05 VPBS-060501133060070080090 Red Cell Morphology VPBS-01 WBC Differential - % WBCP latelet EstimateNote change in specimen (all cells not listed and cellsnot differentiated by your labinto the categories listedabove [eg, lymphoma cells ]).

9 If it is your laboratory'sprotocol to note "Other cells "you may do so on the Use ofOther Contact Center 800-323-4040 option 1 (domestic),or 847-832-7000 option 1 (international)Cell ClassificationsExceptionCodeVPBS-07 Cell ClassificationsExceptionCodeVPBS-07 MetamyelocytesBasophilsEosinophilsMonocy tesLymphocytes, reactiveLymphocytesNeutrophils (segs or bands)360101 Decreased102 Adequate/normal103 Increased9 VPBS-07 Case History910637 Page 2*2525613980245*KIT25256139 8 02 45 CAP # 1255901 - 03 SEQ # 01 Products: VPBSSTONY BROOK UNIVERSITY MEDICAL CENTERNANCY YENAPN3 VPBS-A2012 Results must be received at the CAP no later thanmidnight, Central Time by the due date below:Customer Contact Center 800-323-4040 option 1 (domestic),or 847-832-7000 option 1 (international) Identification code040030020010 Cell IdentificationTo display the online images, select theView Imagelink on the result form details page.

10 !Red Cell Morphology VPBS-07100 Exception CodeVPBS-08 VPBS-09 VPBS-10 VPBS-11 VPBS-1205011330600700800909708 Page 3*2525613980388*KIT25256139 8 03 88 CAP # 1255901 - 03 SEQ # 01 Products: VPBSSTONY BROOK UNIVERSITY MEDICAL CENTERNANCY YENS ignatures will not display when viewed of Other Form190 Use of OtherThis section is provided to list methodology information not found on Master lists . For online entry, you can enter only 255 Customers:Do not use this section to indicate test menu changes. Download the LAP Test Menu Change form at and fax or mail itto the Statement010030040090140 TestingPersonnelTestingPersonnelTestingP ersonnelDirector(or Designee)Survey(Shipment)Customer Contact Center 800-323-4040 option 1 (domestic),or 847-832-7000 option 1 (international) As stated in the February 28, 1992 Federal Register under Subpart H 493-801 (b) (1), the individual testing or examining the samplesand the laboratory director must attest to the routine integration of the samples into the patient work load using the laboratory's routinemethods.