Cord Blood Evaluation

Last Modified: 2/20/2019 3:34:15 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 7.0 mL Cord Blood in a Large Lavender Top Tube - EDTA
 7.0 mL Cord Blood in a Pink Top Tube - EDTA
Collection Instructions: Label specimen with mothers patient's full legal name, date of birth, medical record number and/or social security number, the date and time of the collection, and the phlebotomist's (collector's) initials; and the infants full name and medical record number

Must note that specimen is Cord Blood
Transport & Storage: Temperature/Stability: 72 hours Ambient
Reference Range: Not Applicable
Critical Ranges:  
Test Comments:  
Methodology: Hemagglutination
Clinical Significance:  
Custom Panel: No


Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Whitley
PHL Test Code: CORD1
EPIC Test Code: LAB892
Included Tests: Neonatal ABO (NABO); Neonatal Direct Coombs (NDAT); Neonatal RH (NRH)
CPT Coding: 86900, 86880, 86901

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