Fetal Maternal Screen

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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