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HelpTest Code LAB8004 ABO/Rh Type
Additional Codes
| Test Name in Epic | Epic Test Code | Mnemonic |
|---|---|---|
| ABO AND RH TYPE | LAB8004 | ABORH |
Test Alias
Blood Type & RH Factor, ABO
Useful For/Utility
ABO/Rh Type is indicated for pregnant females in the determination of RhIG candidcacy following an event that threatens the preganacy or the delivery of an infant.
ABO/Rh Type is indicated for the transfusion of non-RBC products (Fresh Frozen Plasma, Cryoprecipiate and Platelets).
Methodology
Tube Testing/Gel Card Testing
Test Algorithm
ABO
ABO discrepancies may require antibody identification and appropriate serologic or molecular testing to be performed as required. Each technique/panel needed will be charged separately.
Rh
A weak D (Du) Typing is performed for the following
patients at additional charge if Rh (D) typing is negative :
Rh negative cord blood samples
Rh negative OB patients with positive Fetal Maternal Hemorrhage Screens
Patients with Rh typing discrepancies (i.e. history of Rh pos with current typing of Rh neg) Initial ABO/Rh typing for non-RBC blood products is only indicated if an ABO/Rh has not been performed within 6 monhts of the planned transfusion.
Clinical Information
The ABO system is regarded as the most important blood-group system in transfusion medicine because of severe hemolytic transfusion reactions and, to a lesser degree, hemolytic disease of the newborn.
The Rh blood group system is the secondmost important blood group system, after the ABO blood group system.
Because of the dire clinical consequences associated with ABO incompatibilities, ABO typing and ABO compatibility testing remain the foundation of pretransfusion testing and an important component of typing before transfusion/transplantation.
Specimen Requirements
Specimen must be tested within 5 days of draw.
EDTA whole blood is required.
Specimen Type: Whole blood
Container/Tube: Pink top (K2EDTA) -Lavender-top (EDTA) tube is also acceptable.
Specimen Volume: 6 mL of K2EDTA whole blood
Specimen Minimum Volume: 1 mL
Collection Instructions: Send specimens in original tubes.
Additional Information: Label specimens appropriately (K2EDTA) and for Blood Bank (see Transfusion Services in Special Instructions).
Specimen Transport Temperature
Ambient/Refrigerate OK/Frozen NO
Day(s) Test Set Up
Monday through Sunday
Performing Laboratory
| Minnesota | North Dakota | Wisconsin |
|---|---|---|
| Deer River Hospital | Fargo Hospital | St. Mary's Hospital - Superior |
| Fosston Hospital | ||
| Moose Lake Hospital | ||
| Northern Pines (Aurora) | ||
| SMDC Clinical Lab (Duluth) | ||
| St. Joseph's Medical Center (Brainerd) | ||
| St. Mary's - Detroit Lakes Hospital | ||
| Virginia Hospital |
CPT Code Information
86900 - ABO Type
86901 - Rh Type
Special Instructions
Drawing instuctions can be obtained from the Source under the Resources tab. Select Policies & Procedures and Select Laboratory Releated Documents.
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| LAB8004 | Blood Type & Rh Factor |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 1023 | ABO Type | 883-9 |
| 5642 | Rh Type | 10331-7 |