ANTIGEN TYPING

Test Code
AGID


Alias/See Also
Antigen identification; Phenotyping


CPT Codes
86905

Preferred Specimen
Pink Tube (EDTA)


Minimum Volume
1mL (6mL optimal)


Other Acceptable Specimens
Lavender Tube (EDTA)


Transport Container
One Pink Tube


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?)
Specimen drawn in wrong tube; grossly hemolyzed specimen; improperly labeled; quantity not sufficient for analysis


Methodology
Hemagglutination

Setup Schedule
Daily, 24 hours


Report Available
Typically within 2 hours


Limitations
Some red cell antigens may not be tested for if the patient has a positive direct Coombs' test. Results may not be valid if the patient has been transfused in the last 3 months.


Clinical Significance
Ascertain the likelihood of an Rh-positive child in genetic counseling; other antigen typings are used to include or exclude antibody specificities or ascertain the likelihood of hemolytic disease of the newborn in cases of maternal antibody; find compatible blood for recipients who have certain atypical antibodies; test the phenotype of the husband to a woman sensitized to blood group antigen.Usually performed on patients in whom antibodies are encountered, to support identification of antibody, typing of donor units to assure that they lack the antigen for which the patient has an antibody.


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.