FETAL BLOOD SCREEN

FETAL BLOOD SCREEN
Marquette General Health System

General Info

HLAB/HOL Code		BD +TRANS.RQN
MGH LIS Test No		133
Schedule		Daily
Testing Time		4 hours, 1 hour (STAT)
Testing Lab		Marquette General Hospital
QORR Test Code		BD +TRANS.RQN

Specimen Info

Type		1 Lavender Top (EDTA) tube
Volume		5.0 mL of EDTA whole blood
Temperature
Preservative		(see below)
Collection Info		NOTE: Please complete a "Transfusion Service Requisition" form and forward it with the specimen. This form is supplied by MGH. Collect immediately following sensitizing event (delivery, miscarriages, etc).

Type		1 Red Top (Plain)
Volume		7.0 mL of serum
Temperature
Preservative
Collection Info		SST TUBE IS NOT ACCEPTABLE NOTE: Please complete a "Transfusion Service Requisition" form and forward it with the specimen. This form is supplied by MGH.

Specimen Acceptability

Methods
Manual, Test Kit
Clinical Utilities
If result is positive, a kleihauer-betke stain will be performed to better quantitate the fetal-maternal hemorrhage.
CPT Codes
85461

The CPT codes provided 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 payer being billed.
Reference Range
Negative (reported as positive or negative)
Component Information
Collection Notes
Collection notes:  Specimen MUST be labeled with:
     1.  Patient full name (no abbreviations)
     2.  Patient identification number - MGH Medical Record #
         if known, patient's birthdate or Soc. Sec. #
     3.  Date specimen was drawn
     4.  Phlebotomist ID
IF THE PATIENT'S NAME IS MISSPELLED ON THE SPECIMEN
TUBE, OR IF THERE IS NOT AN IDENTIFICATION NUMBER ON
THE TUBE, IT WILL NOT BE ACCEPTABLE FOR USE.
(These items cannot be changed or added once the specimen
has left the patient's side)
Additional Comments

Questions or Comments email support@mgh.org

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