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25088 Obstetric Panel, No Rubella

Obstetric Panel, No Rubella
Test Code: OBPAN2
Synonyms/Keywords
​Prenatal panel without Rubella test
Test Components
​Panel includes an CBC with automated differential, Blood typing (ABO and Rh factor), Antibody Screen, Syphilis IgG Antibody, and Hepatitis B Surface Antigen.
Useful For
​Screening to identify the presence of disease and aid in diagnosis.
Specimen Requirements
​See Collection and Processing Instructions section for Specimen Requirements
Collection Processing Instructions
​This panel is only for patients with a record of Rubella immunity.
This test requires three samples:
1.  6.0 mL whole blood – Pink Top Tube (PTT) used for ABO, Rh factor and Antibody Screen.
2.  3.0 mL whole blood – EDTA Lavender Top Tube (LTT) used for CBC with automated differential.  2 peripheral 
     blood smears are also required.
3.  3.0 mL serum – Red Top Tube (RTT) used for Syphilis Antibody IgG, Rubella Antibody and Hepatitis B Surface  
    Antigen.
 
Processing instructions:
-Samples collected in a (RTT) must be removed from the cells within one hour for storage or transport.
- Regional Centers: Hemogram to be performed at local site; other tests to be sent to Marshfield Campus
 
High doses of exogenous biotin (also termed Vitamin B7, Vitamin H or Coenzyme R) may interfere with this assay (HAA). It is recommended that patients refrain from consuming any multivitamin or supplement containing biotin for at least 72 hours prior to collection of a blood sample.
Specimen Stability Information
Specimen Type Temperature Time
​Whole blood ​Refrigerate ​< 48 hours
​Serum ​Refrigerate ​4 days
Rejection Criteria
Gross hemolysis
​Frozen samples
​Clotted specimens
IV or tissue fluid diluted specimens​
Interference
​High doses of exogenous biotin (also termed Vitamin B7, Vitamin H or Coenzyme R) may interfere with this assay (HAA).
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Marshfield-Transfusion Service ​ABO and Rh factor: Monday through Sunday ​Less than 2 hours ​Serological
Marshfield-Transfusion Service ​Antibody Screen: Monday through Sunday ​​Less than 2 hours ​Gel Technology
Marshfield-Clinical Esoteric Automated​ ​Syphilis Antibody IgG: Monday through Friday ​1 day ​MultPlex Flow Immunoassay/Bio-Rad BioPlex 2200
Marshfield-Clinical Automated​​ ​Hepatitis B Surface Antigen: Monday through Friday ​1 day ​Chemiluminescent/Siemens Advia Centaur
​Marshfield-Clinical Automated​ ​CBC with Automated Differential: Monday through Sunday ​Less than 2 hours ​Beckman DxH800 with Light Microscopy
Test Information
​Results of all tests are only reported upon completion of the entire panel
Reference Range Information
Performing Location Reference Range
​Marshfield

​See individual tests for reference ranges

Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
85025​ ​ ​ ​CBC with auto diff ​
87340  ​ ​ ​ ​Hepatitis B Surface Antigen ​
86850​ ​ ​ ​Antibody screen ​
86900​ ​ ​ ​ABO ​
86901​ ​ ​ ​RH ​
86780 ​ ​ ​1 ​Syphilis, treponemal ​
​86593 ​ ​1 ​RPR (if needed) ​
​86780  ​ ​1 ​TP-PA (if needed) ​
Synonyms/Keywords
​Prenatal panel without Rubella test
Test Components
​Panel includes an CBC with automated differential, Blood typing (ABO and Rh factor), Antibody Screen, Syphilis IgG Antibody, and Hepatitis B Surface Antigen.
Ordering Applications
Ordering Application Description
​Centricity ​OB Panel 2, No Rubella
​Cerner ​None
​COM ​OB Panel 2
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
​See Collection and Processing Instructions section for Specimen Requirements
Collection Processing
​This panel is only for patients with a record of Rubella immunity.
This test requires three samples:
1.  6.0 mL whole blood – Pink Top Tube (PTT) used for ABO, Rh factor and Antibody Screen.
2.  3.0 mL whole blood – EDTA Lavender Top Tube (LTT) used for CBC with automated differential.  2 peripheral 
     blood smears are also required.
3.  3.0 mL serum – Red Top Tube (RTT) used for Syphilis Antibody IgG, Rubella Antibody and Hepatitis B Surface  
    Antigen.
 
Processing instructions:
-Samples collected in a (RTT) must be removed from the cells within one hour for storage or transport.
- Regional Centers: Hemogram to be performed at local site; other tests to be sent to Marshfield Campus
 
High doses of exogenous biotin (also termed Vitamin B7, Vitamin H or Coenzyme R) may interfere with this assay (HAA). It is recommended that patients refrain from consuming any multivitamin or supplement containing biotin for at least 72 hours prior to collection of a blood sample.
Specimen Stability Information
Specimen Type Temperature Time
​Whole blood ​Refrigerate ​< 48 hours
​Serum ​Refrigerate ​4 days
Rejection Criteria
Gross hemolysis
​Frozen samples
​Clotted specimens
IV or tissue fluid diluted specimens​
Interference
​High doses of exogenous biotin (also termed Vitamin B7, Vitamin H or Coenzyme R) may interfere with this assay (HAA).
Useful For
​Screening to identify the presence of disease and aid in diagnosis.
Test Components
​Panel includes an CBC with automated differential, Blood typing (ABO and Rh factor), Antibody Screen, Syphilis IgG Antibody, and Hepatitis B Surface Antigen.
Reference Range Information
Performing Location Reference Range
​Marshfield

​See individual tests for reference ranges

For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Marshfield-Transfusion Service ​ABO and Rh factor: Monday through Sunday ​Less than 2 hours ​Serological
Marshfield-Transfusion Service ​Antibody Screen: Monday through Sunday ​​Less than 2 hours ​Gel Technology
Marshfield-Clinical Esoteric Automated​ ​Syphilis Antibody IgG: Monday through Friday ​1 day ​MultPlex Flow Immunoassay/Bio-Rad BioPlex 2200
Marshfield-Clinical Automated​​ ​Hepatitis B Surface Antigen: Monday through Friday ​1 day ​Chemiluminescent/Siemens Advia Centaur
​Marshfield-Clinical Automated​ ​CBC with Automated Differential: Monday through Sunday ​Less than 2 hours ​Beckman DxH800 with Light Microscopy
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
85025​ ​ ​ ​CBC with auto diff ​
87340  ​ ​ ​ ​Hepatitis B Surface Antigen ​
86850​ ​ ​ ​Antibody screen ​
86900​ ​ ​ ​ABO ​
86901​ ​ ​ ​RH ​
86780 ​ ​ ​1 ​Syphilis, treponemal ​
​86593 ​ ​1 ​RPR (if needed) ​
​86780  ​ ​1 ​TP-PA (if needed) ​
For most current information refer to the Marshfield Laboratory online reference manual.