CBC Changes - Legacy Health

Legacy LabAlert
December 2014
An Important Update from Legacy Laboratory Services
CBC (Complete Blood Count)
CBC Orderable changes will take effect on December 17, 2014. The new orderables are:
 CBC WITHOUT Auto Diff
 CBC w/ Auto Diff
Legacy Laboratory Services is discontinuing the Automated Blood Count (ABC) and replacing it with
Complete Blood Count WITHOUT Auto Diff (CBCN) to agree with the American Medical Association
(AMA) definition. The AMA definition for a CBC does not include a differential. Effective 12/17/14, a
CBC order will be a 'hemogram' only. Please specify CBC with Auto Diff when you need the
differential included. When automated differential results meet our internal criteria, a smear review
and/or manual differential may be reflexed at no extra cost.

Legacy EPIC and Legacy WEBLink will be aligned with these changes.

For clients that transmit electronic orders to Legacy, interface codes and test names will change;
please refer to the Outreach Interfaced Orders chart on page 2 and make updates to your system
accordingly.

For clients that submit non-Legacy paper requisitions, please specify CBC with Auto Diff when you
need the differential included. For paper requisitions with only “CBC” as the requested test, CBC
WITHOUT Auto Diff will be ordered.

For clients that submit Legacy paper requisitions, if your current requisition specifies CBC (with auto
diff) and ABC (hemogram), no action is required. Legacy requisitions are being updated with the new
names and will be distributed as our old stock is depleted.
Please refer to the charts on page 2 for order details.
For questions, please contact:
Mary Perkins, MS, MT(ASCP)SH
Manager, System Hematology; Legacy Laboratory Services
503 413-2441
[email protected]
877-270-5566
[email protected]
Legacy EPIC:
New Test Name
New Synonym Old Synonym Old Test Name
CBC with Auto Differential
CBCA
CBC*
CBC With Differential
CBC WITHOUT Auto
differential
CBCN
ABC*
Automated Blood Count (ABC)
*Old synonym search term can still be used. Tests will display in the patient record with the new
names.
Legacy WEBLink:
New Test Name
New Test
Code
Discontinued Test Name
CBC - COMPLETE BLOOD
CBC with AUTO DIFF
CBCA
COUNT
ABC – AUTOMATED BLOOD
CBC WITHOUT AUTO DIFF
CBCN
COUNT
For questions, please contact Lab Outreach EMR support at 503-413-4190
Discontinued
Test Code
CBC
ABC
Outreach Interfaced Orders:
New Interfaced
Alias Order
Code
Discontinued
Interfaced
Alias Order
Code
New Test Name
Discontinued Test Name
Complete Blood Count w/Auto
Complete Blood Count with
Diff
CBCA
CBC
Auto Diff
Complete Blood Count
WITHOUT Auto Diff
CBCN
ABC
Automated Blood Cell Count
For questions, please contact Lab Outreach EMR support at 503-413-4190
Legacy Cerner PathNet:
New Test Name
Complete Blood Count w/Auto Diff
Complete Blood count WITHOUT Auto Diff
2|Page
New
Mnemonic
CBCA
CBCN
Discontinued
CBC
ABC
CPT code
85025
85027