| Test Name: | Cord Blood Work-Up |
| Epic Order Code: | Orderable by requisition only. Order cord blood work-up by checking ABO/Rh test and Direct Coombs test. |
| CPT Code: | 86900, 86901, 86880 |
| Specimen(s) Type: | Whole Blood, 5.0 mL |
| Acceptable Container(s): |   Tube top is purple (lavender) or pink. |
| Testing Schedule: | 24 hours/day, 7 days/week |
| Turn Around Time: | STAT: NA | | |
| | Routine: 30-60 minutes |
| Collection Information: | No special patient preparation is required. Obtain specimen by standard collection procedures. |
| Transport Information: | Deliver to lab immediately. All specimens must be signed into the laboratory. |
| Reference Clients: | If unable to deliver to the lab immediately, store and transport specimen at 2-8° C. Specimen must be received in the lab within 48 hours. All specimens drawn as outpatients will be for informational purposes only not for transfusion. |
| Causes for Rejection: | Improperly labeled, incorrect container, contaminated, insufficient quantity, incorrect/delay in transport, grossly hemolyzed, failure to provide a properly completed Requisition Form and/or a Blood Infusion form. |
| Reference Range: | NA | | |
| Additional Information: | Wharton's jelly from umbilical cord may interfere with testing; cells heavily coated with maternal IgG antibodies may give a false positive or negative typing with antisera. |
| | Interpretive Use: To determine ABO group and Rh type of newborn. Detection of maternal antibody bound to fetal cells in cases of hemolytic disease of the newborn or neonatal jaundice; determine if mother is a candidate for RhIG. |
| | ** All illegible/mislabeled specimens will be destroyed. There are no exceptions.** |