BLOOD TYPE AND SCREEN, EXTENDED SPECIMEN

Additional Codes

Software	Test Code
Label Text	EXTSC
EPIC	LAB10491

Performing Laboratory

NorDx Laboratories

Useful For

Determining patient’s ABO group and Rh type, and detecting clinically significant red blood cell antibodies for preadmission patients

This test is available ONLY for Maine Medical Center patients through the Preadmission Unit.

If the antibody screen is positive, an antibody ID will automatically be performed. First time antibody IDs will reflex to red cell antigen typing for each antibody, and also to a DAT, polyspecific. The DAT, polyspecific will, in turn, reflex to a DAT-IgG and a DAT-C3d if positive. If the DAT-IgG is positive, an RBC elution will be performed. An additonal charge will result for each of these reflexed tests, if performed.

Method Name

Red Blood Cell Agglutination

Reference Values

Not applicable

Days and Times Test Performed

Monday through Sunday

Report Available

1 Day

If Negative

Profile Information

Individual Test Description
ABO TYPE
ANTIBODY SCREEN, BLOOD
HISTORICAL BLOOD TYPE
RH TYPE

Specimen Type

Whole Blood

Preferred Container

Pink Top Tube (EDTA)

Preferred Volume

Whole Blood: 7 mL (Pink Top Tube (EDTA))

Minimum Volume

Whole Blood: 5 mL (Pink Top Tube (EDTA))

Specimen Collection and Handling

1. Send whole blood at ambient temperature.

2. Tube MUST be labelled with full name of patient (Last, First [Do not use nicknames]), date of birth and /or identification number, date of collection, and initials of person drawing specimen.

Specimen must be forwarded to Maine Medical Center Blood Bank accompanied by a completed Extended Specimen Program form.

Add On Capable

Not Permitted

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code	CPT Description	CPT Disclaimer
86850	Antibody Screen, RBC, Each Serum Technique
86860	Antibody Elution, RBC, Each Elution
86870	Antibody Identification, RBC Antibodies, Each Panel for Each Serum Technique
86880	Antihuman Globulin Test (Coombs Test), Direct, Each Antiserum
86880 x2	Antihuman Globulin Test (Coombs Test), Direct, Each Antiserum
86900	Blood Typing, Serologic, ABO
86901	Blood Typing, Rh (D)
86905	RBC Antigens, Other than ABO, Rh (D), Each

Performing Laboratory Location