Last Modified:
3/25/2019 2:45:30 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions:
Must be drawn within 1 to 24 hours after delivery or miscarriage
Minimum Volume:
1.0 mL
Transport & Storage: Temperature/Stability:
24 hours Ambient
48 hours Refrigerated
This Blood Bank test should be performed within 48 hours of collection.
Reference Range:
Negative
Critical Ranges:
Test Comments:
If positive, a Kleihauer-Betke test will automatically be performed and charged.
Kleihauer-Betke Report: Percentage of fetal cells in maternal circulation [Acid Stain]
Methodology:
Hemagglutination
Clinical Significance:
This test determines if an Rh-negative postpartum mother needs more than one vial of Rh Immune Globulin when she delivers an Rh-positive infant.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center, Parkview Wabash
PHL Test Code:
FMSC1
EPIC Test Code:
LAB2247
Alternate Test Names:
Fetal Screen
Included Tests:
CPT Coding:
85461 (Reflex 85460)
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