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Test Code 0253237 Fetal Maternal Hemorrhage (FMH) Screen

Methodology

Immucor Gamma Fetal Bleed Screening TestTM

This is a screening test for RhIg work-up.

Performing Laboratory

Alomere Health Hospital Laboratory

Specimen Requirements

Draw blood at least one hour after delivery and within 24 hours.

 

Specimen Type:  Whole blood

Collection Container/Tube:  Lavender top (EDTA)

Specimen Volume:  5 mL

Specimen Minimum Volume:  2 mL

Collection Instructions:

1. Draw blood at least one hour after delivery.

2. Testing must be done within 24 hours of collection.

3. This test is not applicable if:

  • Newborn is weak-D positive. Order Mayo test code FMB “Fetomaternal Bleed, Flow Cytometry, Blood.”
  • Mother is weak-D positive. Order Mayo test code FMB “Fetomaternal Bleed, Flow Cytometry, Blood.”

Specimen Transport Temperature

Refrigerated

Reference Values

Negative

Positive, referred to Mayo Medical Laboratory for #FMB “Fetomaternal Bleed, Flow Cytometry, Blood” for determination of RhIg dosage.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

85461 Fetal Maternal Hemorrhage Screen

88184 Fetomaternal Bleed,Flow Cytomety (if appropriate)