PRENATAL 4

Prenatal Panel 4

EPIC Test Procedure Code: LAB2833

Performing Lab:
Saint Luke's Regional Laboratories
Container Type:
Serum gel tube and lavender top (EDTA) tube
Specimen Type:

Serum AND whole blood

Preferred Volume:
2 mL serum and 4 mL EDTA whole blood
Minimum Volume:
1.5 mL serum and 4 mL EDTA whole blood
Collection Procedure:

Label the specimens with the patient’s full name, date of birth, date and time of collection, and the initials of the phlebotomist.

Store and Transport:
Room temperature
Unacceptable Condition:

Avoid hemolysis.

CPT Codes:

85025 - CBC Automated Diff (EAP 30011120) 
87389 - HIV Ag/Aby (EAP 30665367) 
86762 - Rubella IgG (EAP 30065520) 
86850 - Antibody Screen (EAP 30040259) 
86900 - Blood Typing, ABO (EAP 30040000) 
86901 - Blood Typing, Rh (EAP 30042880) 
87340 - Hepatitis B Surface Antigen (EAP 30065320) 
86803 - Hepatitis C Antibody (EAP 30065335) 
86780 - Syphilis Antibody

Test Schedule:
See individual test listings.
Test Includes:
Complete Blood Count (CBC) with Differential; Hepatitis B Surface Antigen (HBsAg); Hepatitis C antibody; HIV Type 1 and 2 Antibody; Syphilis Antibody; Rubella Antibodies, IgG Only; Type and Antibody Screen
Reference Ranges:

See individual test listings.
Reflex Test :

If Syphilis Antibody is reactive or equivocal, samples are forwarded to Microbiology for RPR testing and subsequent titer, if appropriate.
A negative RPR will reflex to Fluorescent Treponemal Antibody, Absorbed (FTA-ABS), Serum.

Lab Personnel

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