TYPE AND SCREEN

Test Code
TS


Alias/See Also
T and S, Type and Cross


CPT Codes
86850; 86900; 86901

Includes
Patient's Blood Type and Antibody Screen


Preferred Specimen
Pink Tube (EDTA)


Minimum Volume
6mL


Other Acceptable Specimens
Lavendeer Tube (EDTA)


Instructions
The specimen must be labeled at the patient bedside and have two labels: Barcode label with date, accession number, patient name (last, first), medical record number, and test mnemonic .Red label from wristband with patient name, medical record number, time, date, and phlebotomist mnemonic .A red wristband containing patient name, medical record number, time, date, and phlebotomist mnemonic must be put on patient's wrist by person drawing specimen before leaving the bedside.


Transport Container
One or Two Pink Tubes


Transport Temperature
Room Temperature


Specimen Stability
Store at 1-6 °C if not tested immediately. Sample can be tested for up to three days after collection.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly hemolyzed specimen; specimen improperly labeled; specimen drawn in wrong tube; quantity not sufficient for analysis


Methodology
Hemagglutination

Setup Schedule
Daily, 24 hours


Report Available
Typically, 1 hour.

If antibody screen is positive, additional blood may be requested. Antibody Identification can take up to 3 hours.


Limitations
Does not assure compatibility if blood is required before a crossmatch can be completed. Blood is not crossmatched if only a type and screen is ordered, unless the patient has atypical antibodies. If the antibody screen is positive, additional specimens may be needed for identification and there may be a delay in providing blood for transfusion. Order "Type and Screen" and products needed instead if a patient is likely to need a transfusion within 24 hours or may need a transfusion during labor or delivery.


Clinical Significance
Determine ABO, Rh, and possible presence of atypical antibody for patients who may require many units of blood in near future. Required preparation for transfusion of certain blood products. When an atypical antibody(ies) is detected, an attempt will be made to identify specificity and to provide at least two compatible units of blood.


Performing Laboratory
Mount Sinai Hospital 
Holy Cross 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.