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