Sign in →

Test Code BBABID Antibody Identification, RBC Antibodies

Important Note

For internal ordering only. Not available to outreach clients.

Useful For

Identifying unexpected red cell antibodies when the antibody screen is positive.  This is important to provide compatible, antigen negative red cell products for transfusion.  

 

Identifying antibody(ies) in prenatal patients to assist in determining the risk for Hemolytic Disease of the Fetus and Newborn (HDFN).

Synonyms/Keywords

Atypical Antibody Panel, Antibody ID, Red Cell Antibody, ABID

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume Pediatric Minimum Volume
No Whole blood Two 6 mL EDTA Pink Top Tube (PTT)
and
6 mL Red Top Tube (RTT)

Two 3 mL EDTA Lavender Top Tubes (LTT)

 

OR  

 

One 6 mL EDTA Pink Top Tube (PTT)

6 mL 3.0 mL 3.0  mL

Collection/Processing Instructions

Invert specimen at least 5-6 times in order to facilitate mixing and prevent clotting.  Do not separate plasma from red cells.

Specimen Stability Information

Specimen Type Temperature Time
Whole blood/serum Refrigerate <10 days old

Rejection Criteria

Serum separator tubes (SST)
Frozen
Hemolyzed

Test Components

Antibody identification is not a provider orderable test; FOR INTERNAL USE ONLY. Non-Marshfield Clinic Health System Laboratories requesting antibody identification should order ABSC.   

 

Testing may include the following components: ABSC, ABID, DAT 

Test Information

For other laboratories solely requesting Antibody Identification for positive Antibody Screen results: Contact Transfusion Service with current test results and patient information at 800-222-5835 ext. 16262 before sending specimen. Complete a Request for Additional Serologic Testing at Marshfield Center form to Include patient diagnosis, history of transfusions, pregnancies and administration of Rh(D) Immune Globulin, if applicable.  Send copies of serological work and include a copy of screen cell antigram.  

 

Other Testing Performed: Tests may or may not be performed, at additional charge depending on the results and interpretation of the initial tests.  Refer to CPT tables for additional testing codes and description.  

 

The following common antibodies (not inclusive) are considered clinically significant and have been implicated in Hemolytic Disease of the Fetus and Newborn and/or hemolytic transfusion reactions: Anti-D, Anti-E, Anti-C, Anti-e, Anti-c, Anti-K, Anti-k, Anti-Fya, Anti-Fyb, Anti-Jka, Anti-Jkb, Anti-S, Anti-s, and IgG form of Anti-M. Antigen negative red cells should be selected for transfusion when antibodies are detected or patient has a history of the antibody.

Interferences

Fresh serum, fibrin or particulate matter in the patient specimen may cause anomalous results.  EDTA plasma may minimize these interferences.

Reference Range Information

Performing Location Reference Range
All performing sites No reference ranges are available. 

Marshfield Labs Performing Department

Marshfield Labs Transfusion Services

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Sunday typically 4 hours* Solid Phase Red Cell Adherence PEG enhanced ID panel
*Based on complexity of antibodies present, may take up to 24 hours.

 

 

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
86870     ABID (additional antibody panels)  
86077     PATH CONSULT  
86850     ABSC  
86880     DAT  
86905     RBC antigen (patient or donor unit)  
86886     Antibody titer  
86860     Elution  
86978     Cold adsorption*  
86978     Warm adsorption*  
86971     Ficin treatment  
86977     Neutralization or acidification  
86920 86921 86922     IAT crossmatch  
*charge will be for quantity of adsorptions performed

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
86870     ABID (additional antibody panels)  
86077     PATH CONSULT  
86850     ABSC  
86880     DAT  
86905     RBC antigen (patient or donor unit)  
86886     Antibody titer  
86860     Elution  
86978     Cold adsorption*  
86978     Warm adsorption*  
86971     Ficin treatment  
86977     Neutralization or acidification  
86920 86921 86922     IAT crossmatch  
*charge will be for quantity of adsorptions performed