Last Modified:
9/20/2023 7:30:16 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
3.0 mL Whole Blood in a Lavender 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:
1.0 mL Whole Blood in Pink Top Tube
Neonatal Volume:
Peds: 1.0 mL Whole blood from 2 Lav Microtainers
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:
Negative
Critical Ranges:
Test Comments:
This test is ordered and charged when a Direct Coombs test is positive on any 6 months or older
Methodology:
Hemagglutination
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Randallia Hospital, Parkview Regional Medical Center
PHL Test Code:
DATF
EPIC Test Code:
LAB2214
Alternate Test Names:
Direct Coombs Fractionated
Included Tests:
CPT Coding:
86880 x 2
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