ABO/RH Type and Screen, Adult

Abbrev Code:TYPE AND SCR   
Order Code:LAB276Order Name:ABO/RH Type and Screen
Order Instructions:SafeTrace Code: TNS_G
Synonyms:Prenatal Screen; Crossmatch; Type and Screen; IAT; OB; TYSC
CPT Codes: 86850 x1, 86900 x1, 86901 x1
Test Includes:ABO/Rh(D) and antibody detection (antibody identification will be performed if antibody detection is positive.) Additional charges will occur if antibody identification is indicated.

The provider may order LAB276 (ABO/RH TYPE AND SCREEN) on both adult and neonatal patients. Epic will route this to the proper test appropriate for the patient's age. Adult Type and Screen (PLAB271) will be generated for all patients ≥ 4 months old.
Turnaround Time:Type & screen and red blood cell components are available 24 h/d. TAT is 3 hr routine, 60 min STAT, 20 min emergency (type specific but not fully crossmatched), 5 min for Type O emergency RBC, Rh negative RBC without compatibility testing.
Special Instructions:

If a crossmatch for red cells is desired, order a TYSC if there is not a current one (valid for 3 days) as well as place an order for red blood cells in the blood order set.

For outpatients with upcoming surgeries, a Blood Bank Pre-Admission Order may be filled out to see if the Type and Screen can be extended for up to 30 days. See Associated Links.  

Associated Links:

TYSC, Infusion Type and Screen form, Type and Screen Extension Form

Collection Instructions

Optimal Volume:2 mL
Minimum\Peds Volume:1 mL
Pediatric only: If 0.5 mL or less is drawn, consult with Blood Bank to see if testing can be performed.
Container:Purple (EDTA) or Pink (EDTA)
Collection Instructions:
For outpatients, the optimal volume is 6-12 mL; however 1-2 mL is acceptable.
NOTE: Additional blood may be requested for further testing if initial antibody screen is positive.

Strict specimen labeling requirements must be followed for ABO/Rh testing and compatibility testing. The patient's full name and identification number on the specimen label MUST EXACTLY MATCH the name and identification number on the request form. The specimen label must include the following information:
  1. Patient's first and last name
  2. Patient's identification number
  3. Date and time of specimen collection
  4. Initials of the person collecting the sample, indicating that the patient's identity has been verified.

For patients that do not have a historical ABO/Rh on file, the sample must be either:

  1. Collected using an electronic positive patient ID system (such as Rover), or
  2. Collected a second time for repeat testing



Causes for Rejection:Gross hemolysis; improper labeling

Processing and Shipping

Specimen Processing:Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Blood Bank  (CSC Maple Grove, Grand Itasca, Lakes, Northland, Range, Ridges, Southdale, St. John's, UMMC East Bank, UMMC West Bank, Woodwinds)

Click HERE to Report test errors or omissions.
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