Test Code RHGE RhO(D), Immune Globulin, Evaluation
Additional Codes
Epic Order Code: | LAB2378 |
Sunquest Order Code: | RHGE |
Specimen Required
Patient Preparation: |
Document indication (either 28-week gestation, amniocentesis, trauma, post delivery, etc) on request form. If previous records indicate mother is Rh-negative, RhIG may be injected before testing is completed. However, the patient’s blood must be drawn prior to injection. |
Container Type: |
Optimal: Pink Top (EDTA) Acceptable: Lavender |
Optimal Collection Volume: |
6.0mL Whole Blood |
Collection Instructions: |
Collect specimen and gently invert several times to mix. Label the specimen, in the presence of the patient, with full name, date of birth and patient medical record number. |
Processing Instructions: |
1. Collect sample in pink top container. 2. Label per policy in the presence of the patient. 3. Send whole blood sample to Blood Bank for testing. |
Useful For
Identifying when Rh Immunoglobulin therapy is indicated for suppression of the immune response of Rh negative women (who do not have immune Anti D) following feto-maternal bleeds that may occur before or at delivery of an Rh positive infant by determining Rhogam eligibility.
Testing results or eligibilty may reflex additional testing work up such as antibody identification or Fetaldex (Kleihauer-Betke).
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
RIND | Indication for Rhogam | No | Yes |
BRCOM | Rhogam Comment | No | Yes |
ELIG | Rhogam Eligibility | No | Yes |
FETSC | Fetal Screen | No | No |
ASC | Antibody Screen | Yes | No |
RH | Rh | Yes | Yes |
Method Name
Gel and Tube
Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Refrigerated | 3 days | |
Ambient | 1 day |
Rejection Due To
Hemolysis | Mild OK; Moderate OK; Gross Reject |
Lipemia | Mild OK; Moderate OK; Gross Reject |
Icterus | Mild OK; Moderate OK; Gross Reject |
Other | N/A |
Post Processing Specimen Type
Whole Blood
Specimen Minimum Volume
Collecting minimum volumes can result in a need for sample recollection, and/or a delay in results. Minimum volumes are subjective and cannot account for all aspects of specimen and testing needs. Refer to the Specimen Required section for optimal volumes for laboratory specimens. Contact the Bronson Laboratory if complex collection exceptions occur that require more information.
Minimum Volume: | 3.0mL whole blood |
Neonate Volume: |
Performing Laboratory
Bronson Laboratory, Blood Bank-Kalamazoo, Paw Paw, Battle Creek, South Haven
Day(s) Performed
24/7
LOINC Code Information
<If only single LOINC, delete table below>
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
RHGE | Rhogam Evaluation | 1314-4 |
RIND | Indication for Rhogam | 19148-6 |
ELIG | Rhogam Eligibility | 19148-6 |
RH | Rh | 10331-7 |
ASC | Antibody Screen | 890-4 |
%ABI | Antibody Identification | 890-4 |
CPT Code Information
Test ID | Test Order Name | CPT Code |
---|---|---|
RH | Rh | 86901 |
ASC | Antibody Screen | 86850 |
%ABI | Antibody Identification | 86870 |
FETSC | Fetal Screen | 86870 |
Sample Retention Time
Blood Bank specimens (other than Cord Blood) are retained in the Blood Bank for 30 days. Pretransfusion testing should be completed within 2 days of collection.