Fetal Bleed Screen

Test performed at York Hospital Laboratory.

Test Code

CPT Codes

Positive results will be reflexed to the Fetomaternal Bleed, Flow Cytometry test performed by Quest Laboratories.

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

Must be drawn within 1 hour after giving birth. Specimen must be labeled with: (1) full patient name (2) date of birth (3) medical record number (inpatients only) (4) date and time of collection (5) identification of two people who identified the patient (2 full legible signatures and employee ID numbers are required. This labeling must occur in the presence of the patient.) NOTE: The definition of signature is the first initial, last name, and the hospital assigned employee number. The signature may be either printed or scripted but MUST be legible and written in indelible ink.

Transport Temperature

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolyzed specimen


Setup Schedule

Report Available
Next Day

Reference Range
Negative Critical Values Positive

Clinical Significance
Fetal Bleed Screening is performed to determine whether a woman who has just given birth needs to receive more than one dose of Rhogam.

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.