OBSTETRIC PANEL
Marquette General Health System

General Info

HLAB/HOL Code

   OBPAN

MGH LIS Test No

   2834

Schedule

   Daily

Testing Time

   1 Day

Testing Lab

   Marquette General Hospital

QORR Test Code

   O2834

Specimen Info

Type

   1 Lavender Top  

Volume

   3.0 mL

Temperature

   Refrigerate

Preservative

    

Collection Info

    
 

Type

   1 Lavender Top  

Volume

   5.0 mL of EDTA whole blood

Temperature

   Refrigerate

Preservative

    

Collection Info

   Please complete a "Transfusion Service Requisition" form and
forward it with the specimen.  This form is supplied by MGHS.
 

Type

   1 SST Tube  

Volume

   2.0 mL serum

Temperature

   Refrigerate

Preservative

    

Collection Info

    
 
Specimen Acceptability
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) 

Please provide us with this additional information when ordering 
an Obstetric Panel.  With a written comment on the test requisition 
indicate:
RhoGAM given on (date)___________________.
            or
RhoGAM has not been given.

Methods

Clinical Utilities

CPT Codes
80055

Reference Range

Component Information

Name

   HEPATITIS B SURFACE ANTIGEN-HBSAG 

Method

   Enzyme Immunoassay (EIA) 

CPT Code

   87340 

Units

    
Ref Range   Negative  
Reflex Reason    
     

Name

   RUBELLA ANTIBODIES, IGG ONLY, SERUM 

Method

   EIA 

CPT Code

   86762 

Units

    
Ref Range   See Report 
Reflex Reason    
     

Name

   RPR (RAPID PLASMA REAGIN TEST), SERUM 

Method

   Flocculation  

CPT Code

   86592  

Units

    
Ref Range   Nonreactive 
Reflex Reason    
     

Name

   ANTIBODY SCREEN, ERTHROCYTES 

Method

   Manual Includes indirect antiglobulin testing wtih commercially prepared screening cells, and antibody identification if indicated. 

CPT Code

   86850 

Units

    
Ref Range   Negative 
Reflex Reason    
     

Name

   ABO AND RH TYPE, BLOOD 

Method

   Manual Weak D test will be performed if clinically indicated. 

CPT Code

   86900 - ABO 86901 - Rh 

Units

    
Ref Range   NA 
Reflex Reason    
     

Name

   CBC (INCLUDES BLOOD COUNT AND DIFFERENTIAL) 

Method

   Coulter LH 750 

CPT Code

   85025 

Units

    
Ref Range   Analyzer Specific- See Report for Normal Ranges 
Reflex Reason    
     
Collection Notes

Additional Comments
*When an antibody screen is positive, additional testing will be performed to identify and quantify the antibody(ies). The added testing will be reproted and billed according to the additional studies that are performed.

 

Questions or Comments email support@mgh.org

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