In 2012, the International Council for Standardization in Haematology (ICSH) published recommendations for the identification, quantitation, and diagnostic value of schistocytes. 1 This document was prepared due to the recognized need to harmonize schistocytes reporting within national hematology societies, most notably in France 2,3 and Italy. 4 It is freely available on the ICSH website (www.icsh.org).The 2012 ICSH recommendations focused on the microscope evaluation method, specific morphologic criteria for schistocyte identification and percentage calculation, definition of a threshold value in healthy subjects.