Cord Blood Evaluation

Message

Labeling must be performed at the patient’s bedside, immediately following specimen collection, by the person who collected the specimen. The provider must order a "Cord Blood Evaluaion" .
Specimens will be rejected if there is evidence that the labeling did not take place at the bedside.

This test is automatically ordered by the Blood Bank if a "Cord Blood Hold" is ordered and any of the following apply:

The mother of the baby is Rh-negative or weak D positive
The mother of the baby is group O
The mother of the baby has clinically-significant antibodies (current or historical)

Test Code

CORDEV

Alias/See Also

Type and Direct Coombs

Includes

ABO Group, Rh Type, DAT

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

Report Available

Same day

Limitations

Specimen can not be used for compatibility testing (crossmatch)

Clinical Significance

1. RhIg administration is indicated when an Rh-negative mother delivers an Rh-positive infant.
2. Negative or positive DAT results can indicate hemolysis is occurring in a case of hemolytic disease of the newborn.

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.