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Epic Test Code LAB274 Direct Antiglobulin Test

Performing Location(s)

BMC,FTT,CRH,OCH,LFH,FOX

Specimen Type

Blood

Preferred Container

6 mL Pink (EDTA) top tube

Alternate Container

7 mL Lavendar (EDTA) top tube 

Storage Requirements

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

 

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

Mislabeled or unlabeled specimen

Reflex Testing

Reflex Testing Data

When the DAT is positive using polyspecific anti-human globulin, a DAT workup is performed and billed (CPT: 86880×4) using monospecific reagents (anti-IgG and anti-Complement). If the DAT workup indicates that the DAT is positive due to the anti-IgG.

An elution procedure is performed and billed (CPT’s: 86860, 86870) on the IgG positive cells to determine antibody specificity.

Available STAT

Yes

Days of Analysis

All

Additional Information

. Refer to Labeling Policy for labeling requirements

Includes

Direct Coomb’s testing of patient’s cells using polyspecific anti-human globulin reagent. Direct Coomb’s testing of patient’s cells using Monospecific reagents (Anti-IgG and Anticomplement) when polyspecific results are positive. Eluates from monospecific anti-IgG positive cells are prepared on most patients in order to determine if an identifiable antibody specificity is involed

CPT Code

86880

Last Updated

14-Apr-17