Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing

Test Code
ABSCR


Quest Code
795


Alias/See Also
Coombs, indirect


CPT Codes
86850

Includes
If Antibody Screen is positive, then Antibody Identification, Titer and Antigen Typing will be performed at an additional charge (CPT code(s): 86870 (x) # of panel(s) performed, 86886 (x) # of titer(s) performed and 86905 (x) # of antigen typing(s).

Based on reactions presenting from Antibody Identification, then Direct Antiglobulin Test (DAT) with Reflex to Anti-C3 and Anti-IgG may be performed at an additional charge (CPT code(s): 86880).
If DAT (Coombs, Direct) is positive, Anti C3d and Anti IgG will be performed at an additional charge (CPT code(s): 86880 x2)


Preferred Specimen
5 mL whole blood collected in an EDTA (pink-top) tube


Minimum Volume
5 mL


Other Acceptable Specimens
ACD (yellow-top) tube, red-top tube (no gel), cord blood or EDTA (lavender-top) tube


Instructions

If submitting with a CBC, HbA1c, or any other test requiring an EDTA (lavender-top) tube, please submit a separate tube for this test



Transport Container
EDTA (pink-top) tube


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 24 hours
Refrigerated: 7 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Serum separator tube (SST)


Methodology
Immune Agglutination

Setup Schedule
Day shift Mon-fri


Report Available
1-2 days


Limitations
"Private" antigens may not be represented on the testing panel and low antigen levels may be undetected.


Reference Range
No antibodies detected


Clinical Significance
This test is used to detect significant RBC antibodies.


Performing Laboratory
Quest Diagnostics LLC
200 Forest Street, 3rd Floor, Suite B
Marlborough, MA 01752-3023




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.