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Catalog ID Type & Cross Type and Cross (Blood to be ordered with Type and Screen)

CPOE Test Name

Use Blood Bank Type and Cross for Red Blood Cell Transfusion Adult/Pediatric Subphase (Type, Antibody Screen, and Red Blood Cell Order)

Synonyms

ABO Type, RHo(D) Type, Indirect Antihuman Globulin Test, Indirect Coombs Test, T&S, crossmatch

Specimen Type

Blood

Specimen Requirements

Pink top (EDTA) tube. Fenwal Label. Requires Full Name, Medical Record Number, date and phlebotomist initials/Cerner ID 

Storage and Transport

Send to Blood Bank

Causes for Rejection

Improper labeling; wrong tube; gross hemolysis; insufficient volume

Interpretation

ABO and Rh defined, and the presence of antibody established when the antibody screen result is positive. The antibody screen can detect antibodies that are clinically significant, and antibodies that are not clinically relevant or significant. Blood will be crossmatched and held until the expiration of the Type and Screen sample.

Test Consists

ABO Rh test, and Antibody Screen Test (Indirect Coombs). If additional blood is requested (within 3 days of collection), this sample can be used to crossmatch more RBC’s.

Turn Around Time

Routine: 2 – 4 hours
Urgent: 1 – 2 hours
Emergent: 30 minutes

Methodology

ABO, Rh, Antibody Screen (Indirect Coombs), and Immediate spin crossmatch

CPT / HCPCS Code

86850, 86900, 86901, 86920, 86922

Reference Ranges

Not applicable

Performing Lab

Blood Bank, BI-1230, 721-2731