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Rho (D) Immune Globulin Workup Order

Message
Performed in Blood Bank.
The RHIG injection drug is stocked in pharmacy at some hospitals and in Blood Bank at others.
Related Tests: Cord Blood Studies, Blood Type, NBEO (Newborn Evaluation), Kleihauer-Betke


Test Code
RHWO


Alias/See Also
RHIG
RHO D Immune Globulin Work-up
RhoGam
Rhophylac


Preferred Specimen
Pink 6.0 mL Postpartum RHIG order: Pink 6.0 mL specimen from Mother collected postpartum and Cord Blood or Heelstick on Infant.


Other Acceptable Specimens
Lavender 6.0 is usable, but not preferred.  Red top tubes are NOT the specimen of choice.  Please contact the Blood Bank concerning samples collected in these tubes.


Instructions
PRODUCT EXPIRATION / INJECTION For Administration: See the Banner Intranet Policies & Procedures under "WIS: RHo(D) Immunoglobulin Workup and Administration (Prevention of GAM Isoimmunization)."  The expiration date of the product is noted on the vial. Postpartum Rh Immune Globulin should be given within 72 hours of the time of the delivery or miscarriage. The patient can still derive some benefit even after 72 hours.  Special Blood Bank Identification process is not required for RHIG testing.  However, specimens collected without the Blood Bank Identification process cannot be used for later crossmatch testing.

INDICATIONS FOR USE
RHIG Antenatal:
RH Immune globulin should be given to an Rh Negative woman during pregnancy to prevent the development of the Rh antibody (Anti-D) by the mother while she is pregnant. 
RHIG postpartum: RH Immune globulin should be given to an Rh Negative woman who delivers an Rh Positive infant or has a miscarriage/abortion of a fetus within 72 hours. This will prevent the development of the Rh antibody (Anti-D) by the mother. Blood Bank testing will determine the number of vials (dosage).


Report Available
Routine results are available in less than 4 hours.  For STAT expected turn-around time, please see hospital specific lab information on the Banner Intranet.


Reference Range




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.