Prenatal Panel

Test Code

403

CPT Codes
80055-Obstetric Panel

Includes

Panel includes the following:
CBC with differential
Hepatitis B surface antigen
Blood Type and Rh
RPR qualitative
Rubella IgG antibody

Preferred Specimen

Submit each of the following specimens:

Container/Tube: 2 Serum gel tube(s)
Specimen Volume: 6 mL (minimum volume: 0.5 mL) of serum-collect 2 tubes
Collection Instructions: Fasting or nonfasting. Avoid hemolysis.
Note: 1. Indicate serum. 2. Label specimen appropriately (serum).

Container/Tube: Pink-top (EDTA) tube and a plain, red-top tube-Serum gel tube is not acceptable.
Specimen Volume: Full tubes of blood

Container/Tube: Lavender-top (EDTA) tube(s)
Specimen Volume: 4 mL of blood

Transport Temperature

Refrigerate

Setup Schedule

Monday through Sunday

Reference Range

See individual test listings

Performed By
CoxHealth

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.