RH, Gel

Last Modified: 6/8/2023 10:41:07 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 and/or social security number] and the phlebotomist's (collector's) initials

Minimum Volume: 0.5 mL Plasma & 0.5 mL RBC
Neonatal Volume: 0.5 mL Plasma & 0.5 mL RBC
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.
Rejection Criteria: Serum Separator Tube (SST or PST)
Reference Range: Not Applicable
Critical Ranges:  
Test Comments:  
Methodology: Gel
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Wabash Hospital
PHL Test Code: RHW
EPIC Test Code:
Included Tests:  
CPT Coding: 86901

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