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HelpCatalog ID XMatch Crossmatch
CPOE Test Name
Order a Type and Cross. Reflex crossmatch order by Blood Bank when a RBC order is received
Synonyms
Type and Cross, Crossmatch, Compatibility Testing, Type & Screen with Crossmatch
Specimen Requirements
Fenwal Label. Requires Full Name, Medical Record Number, date and phlebotomist initials/Cerner ID. Pink top (EDTA) tube. A current type and screen must be performed before performing a crossmatch
Storage and Transport
Send to Blood Bank
Causes for Rejection
Improper labeling; wrong tube; gross hemolysis; insufficient volume
Interpretation
A compatible crossmatch and negative antibody screen result indicates that testing did not identify any antibody or incompatibility.
Test Consists
ABO, Rh(D) type, and antibody screen test on each specimen submitted per 72 hours. A crossmatch is completed per Red Blood Cell unit requested.
Turn Around Time
Crossmatch (Red Blood Cells)
Routine: 2 – 4 hours Urgent: 1 – 2 hours
Emergent: 30 minutes
Emergency, uncrossmatched: 15 minutes
Methodology
Immediate spin, 37 deg C LISS phase, AHG phase.
CPT / HCPCS Code
86922, 86920
Reference Ranges
Incompatible crossmatch requires specialized testing and time to identify the cause. A Transfusion Risk form is indicated in an emergency situation to release incompatible blood. It must be signed by the recipient’s physician or designee who is responsible for M.D. notification.
Performing Lab
Blood Bank BI-1230 721-2731