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Test Code LAB3002 Rh Immune Globulin Screen and Microdose

Important Note

This test should be used for gestation of ≤ 12 weeks

Useful For

Determining if a patient is a candidate for Rhogam and calculating the correct dose of Rhogam needed.  Rhogam is administered to Rh-negative mothers who deliver Rh-positive (or unknown Rh) babies as an effective means of preventing Rh-alloimmunization. In most instances, D-negative mothers delivering D-positive infants can be protected from producing anti-D by the administration of Rhogam within 72 hours. 

Methodology

Capture solid phase automation and manual blood banking methods

 

Profile Information

 

Test Code Test Name Always Performed
LAB895 ABO and Rh Type, Blood Yes
LAB278 Antibody Screen (Indirect Coombs), Blood Yes

Performing Laboratory

Bozeman Health Laboratory Services

Specimen Requirements

Specimen Type: EDTA whole blood

Container/Tube: Purple top or pink top (K2 EDTA)

Specimen Volume: 6 mL

Specimen Minimum Volume: 3 mL

Collection Instructions:  Collect blood from mother at least 1 hour after delivery of all products of conception and collect as soon as possible thereafter.  Do not centrifuge. Forward unprocessed whole blood promptly.  Rhogam must be given within 72 hours.

Specimen Rejection:

1.  Gel tubes will be rejected. 

2.  Specimen must be labeled properly. 

3.  This test is affected by gross hemolysis.

Specimen Transport Temperature

Ambient <24 hours/Refrigerated >24 hours

Specimen Stability

Specimen Type Temperature Time
Whole Blood EDTA Ambient 24 hours
  Refrigerated 48 hours

 

Reference Values

Type: A, B, O, AB, A2

Rh: Positive or Negative

Antibody Screen: Negative (reported as positive or negative)

 

 

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

86900-ABO

86901-Rh type

86850-Antibody screen