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Test Code Billings Clinic: 5006 Type and Screen, Blood

Additional Codes

Ordering Mnemonic
MayoAccess: BCL476

 

Performing Laboratory

Billings Clinic Laboratory:  Blood Bank

Useful For

  • The concept of type and screen advocates not performing a crossmatch preoperatively for patients undergoing procedures that rarely require use of blood or for other patients who are unlikely to need a transfusion.
  • For patients with normal screening results, there should be no delay in obtaining compatible blood for transfusion if necessary.
  • For patients with abnormal screening results, compatible blood can usually be available within hours, but occasionally, consultation with a reference laboratory is needed and could delay availability.

Methodology

  • MTS Gel Card
  • Tube Agglutination

 

Specimen Requirements

Submit only 1 of the following specimens:

  • If specimen being drawn may result in a transfusion, patient must be wearing an identification bracelet. A Typenex® (Fenwal) identification band must be completed and placed on patient’s left wrist at time of draw.
  • All specimens must be completely labeled in accordance with the American Association of Blood Banks’ (AABB) requirements.
  • If specimen is spun down, label appropriately (plasma or serum) and send along with RBCs.

EDTA Whole Blood (Preferred Specimen Type)

  • Draw a full, lavender-top (EDTA) tube, 5 ml or 9 mL
  • Send the unprocessed EDTA whole blood refrigerated.
  • Do not centrifuge.
  • Forward unprocessed whole blood promptly.
  • If there is a delay in transport of ≥6 hours, spin down and send plasma and RBCs refrigerated.

Whole Blood

  • Draw a full, plain, red-top tube
  • Send 7 mL of unprocessed whole blood refrigerated.
  • Do not centrifuge.
  • Forward unprocessed whole blood promptly.
  • If there is a delay in transport of ≥6 hours, spin down and send serum and RBCs refrigerated.

 

Reference Values

Not applicable

Day(s) Test Set Up

Daily

Test Classification and CPT Coding

86885 - antihuman globulin test, indirect, qualitative, each antiserum
86900 - blood typing; ABO
86901 - Rh (D)

Profile/Testing Information

Reflex Information:

  • Further testing such as antibody identification and other procedures may be necessary to identify antibodies present in patient’s serum.
  • Physicians/nonphysician provider (NPP) must indicate if no reflex or further testing is desired.
  • An additional fee may be added.