Newborn Evaluation

Message

This test is only ordered if a cord blood is not available.

Test Code

BB Newborn Evaluation Order - NOCO

CPT Codes
86880 direct Coombs, 86900 ABO, 86901 Rh type

Includes

ABO/Rh Type, Blood and Direct Coombs, IgG , Blood.

Preferred Specimen

0.5 mL in Lavender top microtainer (EDTA)
Note: For neonate requirements see Neonate Minimum Blood Volumes

Minimum Volume

0.5 mL

Instructions

Collection Instructions:

Draw blood in a lavender-top (EDTA) MICROTAINER(S)® from a heelstick.
Label the sample with the baby's Cerner or MS4 Label. The label should have full name, medical record number or history identification number, date collected, time collected, and the collectors initials.

Specimen Stability

Specimen Type	Temperature	Time
EDTA whole blood	Refrigerated	2 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Specimen labeled with mothers information.

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 direct coombs result on a newborn

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.