Schistocyte Review
Fragmented RBCs
Test Codes
EPIC: LAB5159
Department
Hematology
Specimen Collection Criteria
Collect (preferred specimen): One 4.0 mL Lavender-top K2EDTA tube. (Minimum: 2.0 mL)
Also acceptable: One Lavender-top K2EDTA Microtainer®. (Minimum: 300 mcL)
Physician Office/Draw Specimen Preparation
Maintain specimens refrigerated (2-8°C or 36-46°F) prior to transport. Room temperature (20-26°C or 68-78.8°F) is acceptable for a maximum of 8 hours.
Preparation for Courier Transport
Transport: Whole blood or capillary blood, refrigerated (2-8°C or 36-46°F). (Minimum: 2.0 mL whole blood or 300 mcL capillary blood)
Rejection Criteria
- Specimens containing clots.
- Insufficient volume.
- Frozen specimens.
Storage
Specimen Stability for Testing:
Room Temperature (20-26°C or 68-78.8°F): 8 hours
Refrigerated (2-8°C or 36-46°F): 72 hours
Frozen (-20°C/-4°F or below): Unacceptable
Specimen Storage in Department Prior to Disposal:
Refrigerated (2-8°C or 36-46°F): 7 days
Laboratory
Dearborn Hematology Laboratory
Farmington Hills Hematology Laboratory
Grosse Pointe Hematology Laboratory
Lenox Main Laboratory
Livonia Main Laboratory
Royal Oak Hematology Laboratory
Taylor Hematology Laboratory
Trenton Hematology Laboratory
Troy Hematology Laboratory
Wayne Blood Bank
Performed
Sunday – Saturday, 24 hours a day.
Results available within 24 hours.
Reference Range
Normal: Less than 1/hpf.
Test Methodology
Manual microscopy.
Interpretation
Normal: Less than 1/hpf.
Anything greater than 1/hpf implies an increased number of schistocytes present.
Clinical Utility
Fragmented RBCs (Schistocytes) are seen in severe burns, disseminated intravascular coagulation (DIC), thrombotic thrombocytopenic purpura (TTP), and other microangiopathic hemolytic anemias.
CPT Codes
85008
LOINC: 800-3
Contacts
Main Laboratory – LVA
947-523-4370
Name: Main Laboratory – LVA
Location:
Phone: 947-523-4370
Main Laboratory – LNX
947-523-4070
Name: Main Laboratory – LNX
Location:
Phone: 947-523-4070
Hematology Laboratory – TYL
313-295-5360
Name: Hematology Laboratory – TYL
Location:
Phone: 313-295-5360
Blood Bank Laboratory – WYN
734-467-4285
Name: Blood Bank Laboratory – WYN
Location:
Phone: 734-467-4285
Hematology/Coagulation Laboratory – FH
947-521-8243
Name: Hematology/Coagulation Laboratory – FH
Location:
Phone: 947-521-8243
Hematology/Coagulation Laboratory – TRN
734-671-3862
Name: Hematology/Coagulation Laboratory – TRN
Location:
Phone: 734-671-3862
Hematology Laboratory – DBN
313-593-7905
Name: Hematology Laboratory – DBN
Location:
Phone: 313-593-7905
Hematology/Urinalysis Laboratory – GP
313-473-1809
Name: Hematology/Urinalysis Laboratory – GP
Location:
Phone: 313-473-1809
Hematology Laboratory – RO
248-551-8080
Name: Hematology Laboratory – RO
Location:
Phone: 248-551-8080
Hematology/Coagulation Laboratory – TR
248-964-8040
Name: Hematology/Coagulation Laboratory – TR
Location:
Phone: 248-964-8040
Last Updated
5/19/2022
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