TYPE AND CROSS RED CELLS

Test Code
LAB3045


CPT Codes
86850, 86900, 86901

Includes
ABO, Rh, and Antibody Screen. A positive screen will automatically initiate an antibody identification. Crossmatching of RBC units either serologically or electronically is included.


Preferred Specimen
One 6 mL lavender top tube


Instructions
Specimen must be appropriately labeled if intended for pretransfusion compatibility testing. Specimens are labeled by using Positive patient identity by barcoding the patient's wristband, printing the label and sign the label on the signature line. If electronic patient identification is not available a hand written label must be done. Specimen must have hand written label containing patient name, hospital number, date of birth, date collected, phlebotomist’s initials, and witnesses’ initials.
Please refer to Transfusion Practice Policy for further information on transfusion practices.

WVUH Lab Processing Instructions
Received in Sunquest by Blood Bank only.


Transport Temperature
Ambient or refrigerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Not labeled with hand written label, required information missing from hand written label,or specimen double labeled with computer generated and handwritten label. 


Methodology
Hemagglutination and/or Electronic Crossmatch

Setup Schedule
Sunday-Saturday


Clinical Significance
The type and cross procedure is requested when the potential for blood use is high (eg. trauma, open heart surgery, etc.). The physician
will request a crossmatch along with an ABO and Rh(D) blood type and antibody screen. In the crossmatch, ABO compatibility of the patient with donor blood is confirmed.
Please see Transfusion Practice Policy for more information.


Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Fairmont Medical Center
Garrett Regional Medical Center
Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hospital Center
Uniontown Hospital
Wetzel County Hospital




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.