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Catalog ID Cord Screen Cord Blood Screen

CPOE Test Name

Use Blood Bank Cord Blood Workup Adult/Pediatric Subphase (Type and DAT (IgG))

Epic EAP Test Code

LAB280

Synonyms

IgG Direct Antihuman Globulin Test and ABO/Rh Test, Screen for Rho(D) Immune Globulin Evaluation

Specimen Type

Cord Blood

Specimen Requirements

Pink top (EDTA) tube; Samples require Name, MRN, date and phlebotomist initials/Cerner ID. 

Causes for Rejection

Improper labeling; wrong tube; gross hemolysis; insufficient volume

Turn Around Time

15 minutes, Weak D 25 minutes

CPT / HCPCS Code

86900, 86901, 86880

Storage and Transport

Send to Blood Bank

Reference Ranges

Critical Value is a cord blood with a Positive DAT

Interpretation

If the mother is not sensitized to the Rho(D) antigen, is Rho(D) negative, delivers a Rho(D) positive infant, and has a negative DAT test, the mother is a candidate for Rho(D) immune globulin. Although the DAT test can be positive due to ABO attached antibodies, this will not exclude the mother’s candidacy for RhIG immune globulin.

Methodology

ABO and Rh Testing by saline room temperature test, Weak D testing at 37 deg C with AHG. Uses IgG antihuman globulin serum in test procedure with patient’s washed RBCs.

Performing Lab

Blood Bank BI-1230 721-2731