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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
Causes for Rejection
Improper labeling; wrong tube; gross hemolysis; insufficient volume
Turn Around Time
Crossmatch (Red Blood Cells)
Routine: 2 – 4 hours Urgent: 1 – 2 hours
Emergent: 30 minutes
Emergency, uncrossmatched: 15 minutes
CPT / HCPCS Code
86922, 86920
Storage and Transport
Send to Blood Bank
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.
Interpretation
A compatible crossmatch and negative antibody screen result indicates that testing did not identify any antibody or incompatibility.
Methodology
Immediate spin, 37 deg C LISS phase, AHG phase.
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.
Performing Lab
Blood Bank BI-1230 721-2731