The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Hemolytic Anemia Evaluation
Order Code: HEMOANEM
Order Form: A-1a Miscellaneous Request or IPR Req
  Commercial "Mail-out" Laboratory
6240 RCP
356-3527
Specimen
EDTA and ACD Whole Blood
Collection Medium:
and
Lavender top tube (EDTA) Yellow top tube (ACD solution A)
Minimum:
Draw blood in a lavender-top (EDTA) tube(s) and a yellow-top (ACD 
[solution A]) tube(s), and send 5.0 mL of fresh EDTA whole blood and 10 
mL of ACD (solution A) whole blood refrigerated. Do not transfer blood 
to other containers.
Rejection Criteria:
Specimens cannot be frozen
Delivery Instructions:
Submit specimen to laboratory as soon as possible after collection.
Specimen must be received at reference laboratory within 72 hours of 
draw.
Specimen
Instructions:
Include a control specimen drawn at the same time from a normal, 
unrelated individual: draw blood in a lavender-top (EDTA) tube(s), and 
send 5.0 mL of fresh EDTA whole blood refrigerated. Do not transfer 
blood to other containers. Label clearly on outermost label "Normal 
Control". Indicate sex of control on tube(s) label.

Send well-made peripheral blood smear, Wright stained or fixed in 
absolute methanol.
Analytic Time:
1 week
Reference Range:
Definitive results and an interpretive report will be provided.
Comments:
Note:  ACD Solution A or B is acceptable.

Patient's age and sex are required on request form for processing.

Include recent transfusion information.

Please print, complete and submit the Thalassemia/Hemoglobinopathy 
Information Sheet from the Mayo Medical Laboratories with the specimen 
and the A-1a Miscellaneous Request.
CPT Code:
82657, 82955, 83020, 83021, 83068, 84087, 84220, 85060, 85557

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Updated: 04/23/2008

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.