Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing

Test Code

795

CPT Codes
86850<br>**This test is not available to Rhode Island, Maryland, or New York patient testing**

Includes

If Antibody Screen is positive, then Antibody Identification, Titer and Antigen Typing will be performed at an additional charge (CPT code(s): 86870 (x) # of panel(s) performed, 86886 (x) # of titer(s) performed and 86905 (x) # of antigen typing(s).

Based on reactions presenting from Antibody Identification, then Direct Antiglobulin Test (DAT) with Reflex to Anti-C3 and Anti-IgG may be performed at an additional charge (CPT code(s): 86880).
If DAT (Coombs, Direct) is positive, Anti C3d and Anti IgG will be performed at an additional charge (CPT code(s): 86880 x2)

Preferred Specimen

5 mL whole blood collected in an ACD (yellow-top) tube

Minimum Volume

1 mL

Other Acceptable Specimens

Red-top tube (no gel), EDTA (lavender-top) or EDTA (pink-top) tube • Cord blood

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 72 hours
Refrigerated: 7 days
Frozen: Unacceptable

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

Gross hemolysis • Serum separator tube (SST)

Methodology
Immune Agglutination

FDA Status
If Antibody Screen is positive, 97037-Antibody Identification, Titer and Typing, RBC, will be performed at an additional charge.

Based on reactions presenting from Antibody Identification, then 36668 - Direct Antiglobulin Test (DAT) with Reflex to Anti C3 and Anti IgG may be performed at an additional charge.

If 36668 - Direct Antiglobulin Test (DAT) is positive, then 36669 - Anti C3 and Anti IgG will be performed at an additional charge.

Setup Schedule

Sets up 5 days a week.

Report Available

Reports same day.

Limitations

"Private" antigens may not be represented on the testing panel and low antigen levels may be undetected.

Clinical Significance

This test is used to detect significant RBC antibodies.

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.