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HelpTest Code T-S Type and Screen - Preop/Outpt Txn
Useful For
If ordering for newborn or neonate (<4 months) refer to Neonate Transfusion.
To prepare Red cell units for intended transfusion or anticipated need during surgical procedure with high blood loss or actively bleeding patient. A blood type and antibody screen are required to prepare Red Cell units on hold or for an intended transfusion for patients >4 months of age.
Synonyms/Keywords
T and S, Type and Screen, Type and Cross, Type and Hold, Type & Screen-Preop/Outpt Txn, T-S
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 | Whole Blood | 6 mL EDTA Pink Top Tube (PTT) |
Two 3 mL EDTA Lavender Top Tubes (LTT)
6 ml Red Top Tube (RTT) |
6 mL | 3 mL | 3 mL |
Collection/Processing Instructions
Collection of a separate specimen for blood band testing is preferred.
Drawn at Marshfield Medical Center (Hospital):
- Armband is required
- If not collected with scan hand-held system, label must contain: First Name, Last Name, Medical Record Number, date/time of collection and phlebotomist's legible initials.
Drawn at Marshfield Clinic or Regional Center:
- No armband is required
- If not collected with scan hand-held system, label must contain: First Name, Last Name, Medical Record Number, date/time of collection, and the phlebotomist's legible initials.
Specimen Stability Information
| Specimen Type | Temperature | Drawn at | Pregnant or transfused in the last 90 days | Time |
|---|---|---|---|---|
| Whole blood | Refrigerate | Marshfield Medical Centers | NA | 3 days |
| Marshfield Clinic/Regional Center | Yes or unknown | 3 days | ||
| No | 30 days |
Rejection Criteria
| Not collected according to above protocol |
|---|
| Serum separator tubes (SST) |
| Frozen samples |
| Hemolyzed samples |
Test Components
ABO/RH, ABSC
Test Information
A blood type and antibody screen are performed to determine the presence of atypical antibodies in order to provide compatible red cells. If atypical antibodies are present refer to Antibody Identification. Surgical patients served by Marshfield Transfusion Service having clinically significant antibodies will have 2 Red Blood cell units crossmatched for surgery. If the patient does not have a historical blood type in Marshfield Labs Transfusion Service computer system, a second sample may be obtained for second blood type (no charge) for improved safety when transfusing type-specific Red Cell products.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| N/A | 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 |
|---|---|---|---|
| Beaver Dam | Monday through Sunday | Less than 2 hours | Gel |
| Marshfield | Monday through Sunday | Less than 2 hours | Solid Phase Red Cell Adherence |
| Eau Claire | Monday through Sunday | Less than 2 hours | Solid Phase Red Cell Adherence/ Serological |
| Park Falls | Monday through Sunday | Less than 2 hours | Gel/ Serological |
| Rice Lake | Monday through Sunday | Less than 2 hours | Solid Phase Red Cell Adherence/ Serological |
| Minocqua | Monday through Sunday | Less than 2 hours | Solid Phase Red Cell Adherence/ Serological |
| Ladysmith | Monday through Sunday | Less than 2 hours | Gel |
| Neillsville | Monday through Sunday | Less than 2 hours | Gel |
| Weston | Monday through Sunday | Less than 2 hours | Solid Phase Red Cell Adherence/ Serological |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 86900 | ABO | |||
| 86901 | RH | |||
| 86850 | ABSC |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 86900 | ABO | |||
| 86901 | RH | |||
| 86850 | ABSC |
Ordering Applications
| Type of Patient | Ordering Application | Order Code | |
|---|---|---|---|
| Marshfield Medical Center | Cerner | Type and Screen | |
| Lakeview Hospital | Cerner | Type and Screen | |
| Preop- drawn at Marshfield Clinic or Regional Center for inpatient surgery at Marshfield Medical Center | COM | Type & Screen- Preop/OP Tx (Mfd) | |
| Outpatient Transfusion- drawn at Marshfield Clinic or Regional Center for transfusion at Marshfield Medical Center Infusion Center | COM | Type & Screen- Preop/OP Tx (Mfd) | |
| Clinic ASC | Cerner | Type and Screen | |
| Blood Preparation or Transfusion orders- Transfusion Service staff will order T+S if necessary. | |||