ANTIBODY TITER

Test Code
ABT


Alias/See Also
Atypical Antibody (Specific) Titer ; Rh Titer


CPT Codes
86886

Includes
Antibody and Titer result


Preferred Specimen
Pink Tube


Minimum Volume
1mL (6mL optimal)


Other Acceptable Specimens
Lavender Tube 


Instructions
Freeze remaining serum in case subsequent parallel titers are required.


Transport Container
One 6 mL pink top


Transport Temperature
Room Temperature


Specimen Stability
Store at 1-6 °C  if not tested immediately. -30°C for long term storage, for future parallel titers.


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


Methodology
Hemagglutination; Serial Dilution

Setup Schedule
Daily, 24 hours


Report Available
24 hours


Limitations
Titers do not always reflect the condition of an unborn child. Not indicated for antibodies which have not been known to cause hemolytic disease of the newborn (ie, IgM class antibodies in prenatal patients).


Reference Range
An increase of two doubling dilutions during pregnancy indicates consideration for amniocentesis. A titer of 1:16 can be considered critical for antibody.


Clinical Significance
Predict or diagnose hemolytic disease of the newborn due to red blood cell incompatibility during the course of a pregnancy.A rising titer during pregnancy is of more significance than a single assay. Titer =1:32, or a rising titer, or both, of an antibody capable of causing hemolytic disease of the newborn (HDN) are said to be indications to perform amniocentesis. Specific phenotype determinations on the father's red blood cells may be helpful.


Performing Laboratory
Mount Sinai 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.