Cord Blood Hold

Message
 Labeling must be performed at the patient’s bedside, immediately following specimen collection, by the person who collected the specimen. 
Specimens will be rejected if there is evidence that the labeling did not take place at the bedside.

This test is ordered to document receipt and storage of a cord blood sample for an infant.

A Cord Blood Evaluation is ordered by the Blood Bank if any of the following apply:
  1. The mother of the baby is Rh-negative or weak D positive
  2. The mother of the baby is group O
  3. The mother of the baby has clinically-significant antibodies (current or historical)


Test Code
CHOLD


Preferred Specimen
3 mL whole blood (1 mL minimum)


Instructions
 


Cord blood samples must be designated as "cord blood" and be labeled with the infant's:
A. Complete name
B. Medical record number
C. Date and time of collection
D. Collector's identification. 




Transport Container
 EDTA (lavender/purple top) preferred. No additive (red-top) is acceptable


Specimen Stability
 Room temperature: 24 hours
Refrigerated: EDTA <7 days, clotted <3 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
 Any collection container containing serum-separator (SST)
Improper, incorrect or incomplete labeling


Limitations
 Specimen can not be used for compatibility testing (crossmatch)
A care-provider must provide a documented order for any other testing requested on a cord blood specimen.


Clinical Significance
 Refer to Cord Blood Evaluation




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.