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26663 Neonatal ABO/RH

Neonatal ABO/RH
Test Code: NEO ABORH
Synonyms/Keywords

​​ABO/RH, Type and Rh, ABO/RH Typing, BB Blood Type, ABO & RH​

Test Components

​ABO, RH

Useful For

​Samples from infants less than 4 months old will not regularly contain expected Anti-A or Anti-B in serum; therefore, only RBC ABO typing is required. Rh-positive and Rh-negative phenotypes are determined by the presence or absence of D antigens on RBCs. When Rh typing is performed for newborns of Rh-negative mothers (to determine maternal RhIG candidacy) the method for Rh typing must be capable of detecting weak expression of D; therefore, Weak D testing may also be performed. When fetomaternal ABO incompatibility exists, potential for ABO Hemolytic Disease of the Fetus and Newborn (HDFN) exists. ​

Specimen Requirements
Fasting RequiredSpecimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)		Pediatric Minimum Volume
(no repeat)
​No
​Whole Blood
​EDTA Lavender Top Tube (LTT)
​whole blood microcollection tubes (EDTA)
​3 mL
​1 mL
​Two 0.5 mL tubes
Collection Processing Instructions

​If ordering test for transfusion of blood products, refer to Neonatal Transfusion

Acceptable Specimen Types

​Whole Blood

Specimen Stability Information
Specimen TypeTemperatureTime
Whole Blood​
​Refrigerate
​<10 days old​
Rejection Criteria

Frozen, Hemolyzed, Serum Separator Tubes (SST), Specimens > 10 days old

Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
​Beaver Dam
​Monday through Sunday
​Less than 2 hours
​Gel
Eau Claire​
​Monday through Sunday
​Less than 2 hours
​Serological
​Ladysmith
​Monday through Sunday
​Less than 2 hours
​Gel
​Marshfield
​Monday through Sunday
​Less than 2 hours
​Serological 
​Minocqua
​Monday through Sunday
​Less than 2 hours
​Serological
​Neillsville
​Monday through Sunday
​Less than 2 hours
​Gel
​Park Falls
​Monday through Sunday
​Less than 2 hours
​Serological
​Rice Lake
​Monday through Sunday
​Less than 2 hours
​Serological
​Weston​
​Monday through Sunday
​Less than 2 hours​
​Serological​
Test Information

​ABO blood types are determined by the presence or absence of A and/or B antigens on RBCs, and by the presence or absence of Anti-A and/or Anti-B in the serum. Neonates are defined as infants from birth to less than 4 months of age. ​

Reference Range Information
Performing LocationReference Range
​All Performing Sites
​No reference ranges are available ​
Interpretation

​ABO Typing: A, B, AB, O

Rh Typing: Rh positive / Rh negative 

Outreach CPTs
CPTModifier
(if needed)		QuantityDescriptionComments​
86900​

​1
​ABO
​
​86901
​​1
​Rh
​
Synonyms/Keywords

​​ABO/RH, Type and Rh, ABO/RH Typing, BB Blood Type, ABO & RH​

Test Components

​ABO, RH

Ordering Applications
Ordering ApplicationDescription
​Cerner
​Neonatal Direct Antiglobulin Testing
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting RequiredSpecimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)		Pediatric Minimum Volume
(no repeat)
​No
​Whole Blood
​EDTA Lavender Top Tube (LTT)
​whole blood microcollection tubes (EDTA)
​3 mL
​1 mL
​Two 0.5 mL tubes
Collection Processing

​If ordering test for transfusion of blood products, refer to Neonatal Transfusion

Acceptable Specimen Types

​Whole Blood

Specimen Stability Information
Specimen TypeTemperatureTime
Whole Blood​
​Refrigerate
​<10 days old​
Rejection Criteria

Frozen, Hemolyzed, Serum Separator Tubes (SST), Specimens > 10 days old

Useful For

​Samples from infants less than 4 months old will not regularly contain expected Anti-A or Anti-B in serum; therefore, only RBC ABO typing is required. Rh-positive and Rh-negative phenotypes are determined by the presence or absence of D antigens on RBCs. When Rh typing is performed for newborns of Rh-negative mothers (to determine maternal RhIG candidacy) the method for Rh typing must be capable of detecting weak expression of D; therefore, Weak D testing may also be performed. When fetomaternal ABO incompatibility exists, potential for ABO Hemolytic Disease of the Fetus and Newborn (HDFN) exists. ​

Test Components

​ABO, RH

Reference Range Information
Performing LocationReference Range
​All Performing Sites
​No reference ranges are available ​
Interpretation

​ABO Typing: A, B, AB, O

Rh Typing: Rh positive / Rh negative 

For more information visit:
Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
​Beaver Dam
​Monday through Sunday
​Less than 2 hours
​Gel
Eau Claire​
​Monday through Sunday
​Less than 2 hours
​Serological
​Ladysmith
​Monday through Sunday
​Less than 2 hours
​Gel
​Marshfield
​Monday through Sunday
​Less than 2 hours
​Serological 
​Minocqua
​Monday through Sunday
​Less than 2 hours
​Serological
​Neillsville
​Monday through Sunday
​Less than 2 hours
​Gel
​Park Falls
​Monday through Sunday
​Less than 2 hours
​Serological
​Rice Lake
​Monday through Sunday
​Less than 2 hours
​Serological
​Weston​
​Monday through Sunday
​Less than 2 hours​
​Serological​
For billing questions, see Contacts
Outreach CPTs
CPTModifier
(if needed)		QuantityDescriptionComments​
86900​

​1
​ABO
​
​86901
​​1
​Rh
​
For most current information refer to the Marshfield Laboratory online reference manual.