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CORD BLOOD SAMPLES (007-0049, 007-0096, 007-0046) "CORD BLOOD SAMPLES" Test Includes: Infant ABO, Rh, and Direct Antiglobulin Test CPT 4 Code(s): 86900, 86901, 86880 Lab: Blood Bank Request Form: Blood Bank Division Primary Request Form Collection: Sample is collected from the cord blood of the newborn. Causes for Rejection: Gross hemolysis, SST/serum separator tube Availability: Samples are accepted 24 hours per day; Blood Bank, Room 1.180 John Sealy Annex. Turnaround Time: 2 hours Special Instructions: All requests must include requesting physician’s name and ID number, patient's name, UH #, patient location, clinical information/diagnosis, identity of phlebotomist and date and time collected. Specimen must be labeled with patient full name, UH # and Date of Collection. Specimen must be transported to the laboratory in a biohazard specimen bag with request form in the pocket of the bag. Request form must be filled out completely and all information must be legible. Specimen: Blood from the cord of the newborn Volume: 5 mL Minimum Volume: 1 mL Container: Lavender-topped tube (EDTA) Reviewed/Revised 02/14/06 by D. Madrigal, MT(ASCP)SBB |
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