Geisinger Medical Laboratories Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

RED BLOOD CELL ANTIBODY TITER

Geisinger Epic Procedure Code: LAB2993             Geisinger Epic ID: 26821
       

SPECIMEN COLLECTION
Specimen type:
Whole blood.
Preferred collection container:
Specimen required:
6 mL whole blood
Special notes:
Specimen must be labeled with patient's first and last name, medical record number or some unique other identifier (e.g.,billing number, NOT date of birth). Date of collection and phlebotomist identification (full name or tech ID) must be available. Positive patient identification must be assured.

SPECIMEN PROCESSING
Specimen processing instructions:
Do not centrifuge or aliquot. 
Transport temperature:
Room temperature.
Specimen stability:
Specimen must be less than 3 days old for testing.
Rejection criteria:
Tube containing gel separator. Incomplete label ID (see specimen collection notes).

TEST DETAILS
Critical values/courtesy alerts:
Suggest additional fetal monitoring for antibodies with titer of 16 or above. Anti-Kell is not titered as at any level additional fetal monitoring is suggested. (courtesy alert).
CPT code(s):
86886
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Antibody titer.
Methodology:
RBC Agglutination
Synonyms:
ATITER, Antibody titration
Clinical significance:
During pregnancy antibody titration is performed to identify women with significant levels of antibodies that may lead to hemolytic disease of the fetus and newborn. A baseline is established for comparison with titers performed at a recommended every-4-week-interval during pregnancy. Anti-Kell titers are not performed since Kell titer does not correlate with fetal status.
Doctoral Director(s:)
Randin Nelson MD    
Review Date: 10/21/2022

Performing Locations

Geisinger Medical Center

Performing laboratory: Blood Bank
Technical Lead: Amy Allvord
Frequency: Daily, 1st shift
Performed STAT? No

Geisinger Wyoming Valley Medical Center

Performing laboratory: Blood Bank
Technical Lead: Lisa Young    
Frequency: Daily, 1st shift    
Performed STAT? No

Geisinger Community Medical Center

Performing laboratory: Blood Bank
Technical Lead: Lisa Young  
Frequency: Daily, all shifts    
Performed STAT? No
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