Newborn Blood Spot Screening (aka Metabolic)

Message
Sendout, Reference lab code:


Test Code
LAB480


Alias/See Also
Newborn Metabolic Screen @FCH


Preferred Specimen
Heelstick specimen obtained on proper form *


Minimum Volume
Full and complete blood spots


Instructions
For information on the California Newborn Screening Program and disorders screened for, go to the Department of Health website at www.dhs.ca.gov/NBS. Testing is performed at Fresno Community Hospital & Medical Center. Infants should be drawn as close to discharge as possible; a minimum of 12 hours, up to 6 days old. For infants leaving the hospital prior to 12 hours of age, the parents should be instructed to return the baby to the Hoag Outpatient Draw Center for a second specimen within the next few days. * Two forms are required: A TRF Test Request Form must be completely filled out. Blood spots are collected on the Specimen Collection Card. Both forms are obtained from the State of California, Dept. of Health Services. Stock is maintained in the Nursery and NICU. RESULTS: Results are sent to the primary care physician by the Dept. of Health Services. Results are NOT sent to Hoag Hospital Clinical Laboratory. NOTE: For Outpatients returning to Hoag Outpatient Draw for repeat analysis, refer to Newborn Metabolic Screen-Repeat @FCH, SQ code: NSPR. Lab staff will draw. LAB PROCESSING: 1) Place an order for NSP in Order Entry. 2) Place an aliquot sticker on the right column of the Test Request Form (TRF). 3) Make a copy of the TRF. 4) Place no more than 13 specimens in an envelope. 5) Place the copy of the TRF inside the manila envelope. 6) Place the manila envelope in a GS. 7) Place a GSO shipping label on the envelope. 8) Place the envelope in the Newborn Screens ambient bin for pickup.


Transport Temperature
Ambient


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
All Newborn Screen collection forms must be sent to Fresno. Under no circumstances should a specimen NOT be sent.


FDA Status
Approved

Setup Schedule
Monday - Friday


Limitations
Infants should be drawn as close to discharge as possible; a minimum of 12 hours, up to 6 days old.


Reference Range
Included with report


Clinical Significance
Infants should be drawn as close to discharge as possible; a minimum of 12 hours, up to 6 days old.


Performing Laboratory
Fresno Community Hospital & Medical Center, Fresno, California



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.