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
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
Includes
ABO/Rh type, antibody screen
CPT Code
86900, 86901, 86850
Last Updated
3-Jan-24 MS