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HelpTest Code BBNBSCN Neonate Transfusion
Useful For
Providing small aliquots of blood products so as to limit donor exposure for patients < 4 months of age. A blood type, antibody screen and Direct Coombs (DAT) test are performed to detect possible passive maternal antibodies.
Synonyms/Keywords
Neonate type and screen, Newborn type and screen, Newborn transfusion, Quad pack, BBNBSCN, Newborn Type & AbScn & DAT
Specimen Requirements
| Fasting Required | Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|---|
| No | Neonatal Whole blood | Two 0.5 mL whole blood microcollection tubes (EDTA) | 3 mL EDTA Lavender Top Tube (LTT) | 1 mL | 1 mL | NA |
| No | Cord Blood | 6 mL EDTA Pink Top Tube (PTT) |
3 mL EDTA Lavendar Top Tube (LTT)
Clot tube collected in Red Top Tube (RTT) |
6 mL | 3 mL | NA |
Collection/Processing Instructions
Must have an acceptable specimen drawn once each admission. Sample expires upon discharge or when patient is 4 months of age, whichever occurs first. Samples not properly labeled will be rejected.
HOSPITAL patients where scan handheld device is used for label generation: Patient must be arm banded. Specimen label must have the patient's complete first and last name, printed medical history number, date of birth, and specimen collection date and time.
If performing the collection without the use of the Hand-Held system:
HOSPITAL patients: Patient must be armbanded, specimen label must have patient's first and last name, printed medical history number or handwritten medical history number, specimen collection date and time, date of birth, and collector's legible initials.
Hospital Cord Blood: Sample must be labeled with patient's first name (BB, BG, BU), last name, collection date/time and collector's legible initials. Do NOT label cord blood sample with any of mother's information. Mother's name and Medical Record Number or DOB should accompany the sample on appropriate form.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole blood | Refrigerate | < 48 hours old |
Rejection Criteria
| Plasma/Serum separated from the red cells |
|---|
| Not collected according to above protocol |
| Frozen samples |
| Hemolyzed samples |
| Serum separator tubes (SST) |
Test Components
ABO/RH, DAT, ABSC, may include Weak D.
Test Information
A neonate is defined as a child less than 4 months old. ABO/Rh, Antibody Screen and Direct Antiglobulin test must be performed once for each admission. If passive maternal antibody(ies) are detected, antibody identification and/or antibody elution must be performed and antigen negative red cells will be provided for transfusion.
Product Information: Red blood cells selected for neonate will be CPDA-1, leukocyte-reduced/ CMV Safe, and irradiated. O Negative RBCs will routinely be issued for all neonates unless there is limited supply of O Negative or neonate requires antigen negative RBCs. To decrease donor exposures, the same donor unit will be used for multiple transfusions until no volume remains or the unit expires. Ordering Information for Blood Component Transfusion: Specify the volume to be transfused. Transfusion Service will automatically add 7mL to this requested volume for blood administration tubing and dead space. Platelets, plasma and cryoprecipitate products are also available, specify the volume to be transfused. All blood components for neonates are dispensed in a syringe; if prefiltered the product will be labeled as such.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Marshfield | 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 | Less than 2 hours | Serological |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 86880 | DAT | |||
| 86900 | ABO | |||
| 86901 | RH | |||
| 86850 | ABSC | |||
| 86905 | DU |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 86880 | DAT | |||
| 86900 | ABO | |||
| 86901 | RH | |||
| 86850 | ABSC | |||
| 86905 | DU |