Last Modified:
6/8/2023 10:09:48 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
6.0 mL Whole Blood in a Pink Top Tube - EDTA
Collection Instructions:
Specimen should be labeled with the patient's name, date and time of collection, date of birth (or MRN) and the phlebotomist's (collector's) initials
Do not collect in a Serum Separator Tube (SST or PST)
Minimum Volume:
3.0 mL Whole Blood EDTA
Transport & Storage: Temperature/Stability:
24 hours Ambient
72 hours Refrigerated
This Blood Bank test should be performed within 72 hours. If longer than 72 hours patient should be redrawn.
Reference Range:
Negative
Critical Ranges:
Test Comments:
Methodology:
SPRCA
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Wabash Hospital, Parkview Whitley Hospital
PHL Test Code:
SCRN
EPIC Test Code:
LAB278
Alternate Test Names:
Coombs, Indirect; Screen
Included Tests:
CPT Coding:
86850 (Reflex 86870)
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