Test Code TS Type and Screen, Blood
Additional Codes
St. Luke's Compendium Code (Iatric): B100.0000
Performing Laboratory
St. Lukes Hospital Laboratory
Methodology
Agglutination
Includes ABO, Rh type, and antibody screen.
Specimen Requirements
Submit only 1 of the following specimens:
Preferred:
Whole Blood
Draw blood in a pink-top (K3 EDTA) tube(s), and send 7 mL of K3 EDTA whole blood refrigerated. If there is a delay in transport of >24 hours, spin down, remove plasma, and send plasma refrigerated in plastic vial. Keep the blood bank band on the original pink top tube and place a band sticker from the same band on the plasma poor off tube. Send both the orignal pink tube with the red cells and the poored off plasma tube to SLH.
Note: 1. Specimen being drawn may result
in a possible transfusion. Patient must be wearing an
identification bracelet. Blood Bank identification band must be
completed and placed on patient’s wrist at time of specimen
draw.
2. Identify patient by asking them to state their name. If patient
cannot identify himself or herself, find someone who can positively
identify patient.
3. Label specimen as follows prior to leaving patient’s side.
Using a ballpoint pen, fill out Blood Bank identification band as
follows:
A. Patient’s full name
B. Patient’s date of birth
C. Date and time of draw
D. Phlebotomist’s initials
Note: Press firmly so information written on
label will be duplicated on band (blood band uses carbon).
4. Peel off label from wristband after information is completed and
place on tube.
5. Remove back of plastic sheath and place plastic covering on
top of the carbon paper on the band.
6. Wrap band around patient’s wrist with number side out and
firmly close clasp.
7. Cut/tear off remaining number portion of band.
8. Send labeled specimen and remaining number portion of band
to laboratory.
9. Specimen can be used for testing/crossmatch for three days.
Alternate:
Serum
Draw blood in a plain, red-top tube(s), and send 7 mL of blood refrigerated. (Serum gel tube is not acceptable.) If there is a delay in transport of >24 hours, spin down, remove serum, and send serum refrigerated in plastic vial. Keep the blood bank band on the original red-top tube and place a band sticker from the same band on the serum poor off tube. Send both the orignal red tube with the red cells and the poored off plasma tube to SLH.
Note: 1. Specimen being drawn may result
in a possible transfusion. Patient must be wearing an
identification bracelet. Blood Bank identification band must be
completed and placed on patient’s wrist at time of specimen
draw.
2. Identify patient by asking them to state their name. If patient
cannot identify himself or herself, find someone who can positively
identify patient.
3. Label specimen as follows prior to leaving patient’s side.
Using a ballpoint pen, fill out Blood Bank identification band as
follows:
A. Patient’s full name
B. Patient’s date of birth
C. Date and time of draw
D. Phlebotomist’s initials
Note: Press firmly so information written on
label will be duplicated on band (blood band uses carbon).
4. Peel off label from wristband after information is completed and
place on tube.
5. Remove back of plastic sheath and place plastic covering on
top of the carbon paper on the band.
6. Wrap band around patient’s wrist with number side out and
firmly close clasp.
7. Cut/tear off remaining number portion of band.
8. Send labeled specimen and remaining number portion of band
to laboratory.
9. Specimen can be used for testing/crossmatch for three days.
Reference Values
Not applicable
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
86850 - antibody screen
86900 - ABO
86901 - Rh type
86870 - antibody identification (if appropriate)
86905 - red cell antigen typing, each (if appropriate)
86920 - compatibility test, immediate spin technique (if
appropriate)
86922 - compatibility test, antiglobulin technique (if
appropriate)