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Epic Test Code LAB276 Type and Screen

Performing Location(s)

BMC, CRH, LFH, OCH, FOX, FTT

LIS Code

TSC

Synonyms

Type and Indirect Coombs

Specimen Type

Blood

Preferred Container

6 mL Pink (EDTA) top tube

Storage Requirements

PINK top tubes (MIBH specimens): Specimens from outreach centers should be kept refrigerated piror to and during shipment. Do NOT centrifuge or separate plasma from cells.

 

RED top tubes (BHSC and OCH specimens): Specimens collected in red top tubes must be centrifuged and the serum separated from the clot within 4 hours of collection. The serum aliquot tube must be labeled and attached to the original hand labeled red top tube using a rubber band. Store and transport refrigerated

Transportation Needs

Specimens should be sent to the laboratory promptly.

Specimens from outreach centers should be kept refrigerated prior to and during shipment.

Causes for Rejection

Gross hemolysis

Mislabeled or unlabeled specimen

 

Reflex Testing

Reflex Testing Data

When the Antibody Screen is positive an antibody identification will be performed and billed (CPT: 86870)

Available STAT

Yes

Days of Analysis

All

Additional Information

Other Requirements:

Refer to Labeling Policy for required information

 

For Cardiac patients see entry for CTS (Type and Screen : Cardiac Patient)

 

Also see Outpatient wristband policy

 

Additional Information:

A Type and Screen may be converted to a crossmatch if the patient has been wristbanded or Blood Bank ID Card completed  (see Other Requirements, above) by ordering RCP as an Add On Test or on Downtime Lab Req#3 within 3 days from date of specimen collection.

 

An MIBH Type and Screen may be converted to a Cardiac Type and Screen by ordering CTS as an Add On Test or on Downtime Lab Req#3 within 3 days from date of specimen collection.

 

An additional (1) 6ml Pink (EDTA) top tube must be collected, at the direction of Blood Bank. This specimen will be hand labeled and sent to the Blood Bank.

 

An MIBH Type and Screen may be converted to a Cardiac Crossmatch by ordering CRCP as an Add On Test or on Downtime Lab Req#3 within 3 days from date of specimen collection.

 

If atypical antibodies are detected additional specimen may be requested by the Blood Bank in order to complete testing. An additional (1) 6ml Pink (EDTA) top tube must be collected at the direction of Blood Bank. This specimen will be hand labeled and sent to the Blood Bank.

 

See also

Lab Form 3

Transfuision Instructions

 

 

Includes

ABO/Rh type, antibody screen

CPT Code

86900, 86901, 86850

Last Updated

3-Jan-24 MS