Direct Antiglobulin Test Order

Test Code
DATO - NOCO


Alias/See Also
BB Direct Antiglobulin Test Order - NOCO

DAT Echo (cs) - NCMC/Horizon

DATIGG - MMC

Direct Coombs


CPT Codes
86880

Preferred Specimen
5.0 mL whole blood in Lavender top (EDTA)


Minimum Volume
5 mL (0.5 mL pediatric)

Note: For neonate requirements see Neonate Minimum Blood Volumes


Specimen Stability
Specimen Type Temperature Time
EDTA whole blood Refrigerated 2 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Any hemolysis, < 5 mL for adults


Methodology
Solid Phase Red Cell Adherence or Tube Agglutination

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same Day


Reference Range
Direct Coombs: Negative

Critical value (automatic call-back): positive result


Clinical Significance
A positive Direct Antiglobulin Test result will be called to the caregiver.  If IgG is positive and the patient has recently been transfused, elution studies may be performed to identify the antibody involved.


Performing Laboratory
Banner Fort Collins Medical Center Laboratory
McKee Medical Center Laboratory
North Colorado Medical Center Laboratory



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.