Prenatal Reflexive Panel
0095044
Ordering Recommendation
 
Mnemonic
PRENATAL A
Methodology
Automated Cell Count/Differential/Semi-Quantitative Charcoal Agglutination/Qualitative Chemiluminescent Immunoassay/Quantitative Chemiluminescent Immunoassay/Hemagglutination/Solid Phase
Performed
Refer to individual components
Reported
Refer to individual components  
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
Specimen Required
Patient Preparation
  
Collect
Lavender (EDTA) or pink (K2EDTA) AND serum separator tube.  
Specimen Preparation
Transport 10 mL whole blood in the original container(s) AND transfer two 2 mL aliquots of serum to individual ARUP Standard Transport Tubes.  
Storage/Transport Temperature
Whole Blood: Room temperature.
Serum:
Refrigerated.  
Unacceptable Conditions
Frozen whole blood. Clotted whole blood.  
Remarks
  
Stability
Refer to individual components.  
Reference Interval
 
 
Test Number Components Reference Interval
0050471Rapid Plasma Reagin (RPR) with Reflex to Titer  
 
Test Code Components Reference Interval
 Rapid Plasma Reagin (RPR) RPR (+) = Reactive
RPR (-​) = Nonreactive
 Rapid Plasma Reagin (RPR) Titer < 1:1
0050771Rubella Antibody, IgG  
 
Less than 9 IU/mL: Not Detected.
9-​9.9 IU/mL: Indeterminate -​ Repeat testing in 10-​14 days may be helpful.
10 IU/mL or greater: Detected.
0010014ABO-​Rh Prenatal ABO Typing: A, B, AB, O
Rh Typing: Rh positive/Rh negative
0010020Antibody Screen RBC with Reflex to Identification  
 
Available Separately Components Reference Interval
 Antibody Screen Refer to report
 Antibody Identification, RBC (Blood Bank) Refer to report
0040003CBC with Platelet Count and Automated Differential Age intervals for established ranges effective May 21, 2012
 
Test Number Components Reference Interval
0040080Hematocrit Refer to report
0040085Hemoglobin Refer to report
0040270Red Blood Cell Count Refer to report
0040320White Blood Cell Count Refer to report
 RDW Refer to report
 MPV Refer to report
 MCV Refer to report
 MCH Refer to report
 MCHC Refer to report
 Granulocytes Number Refer to report
 Granulocytes Percentage Refer to report
 Eosinophils Number Refer to report
 Eosinophils Percentage Refer to report
 Basophil  Number Refer to report
 Basophil Percentage Refer to report
 Monocytes Number Refer to report
 Monocytes Percentage Refer to report
 Lymphocytes Number Refer to report
 Lymphocytes Percentage Refer to report

 
  Age 1-​3 days 4-​7 days 8-​14 days 15-​30 days 31-​60 days 61-​180 days 6-​35 months 3-​6 years 7-​11 years 12 years and older
0040235 Platelets Male (K/µL) 164-​351 220-​411 226-​587 210-​493 275-​567 275-​566 219-​452 204-​405 194-​364 177-​406
  Female (K/µL) 234-​346 126-​462 265-​557 236-​554 295-​615 288-​598 229-​465 204-​402 183-​369 177-​406
2007573Hepatitis B Virus Surface Antigen with Reflex to Confirmation, Prenatal   
 
Test Number Components Reference Interval
 Hepatitis B Virus Surface Antigen, Prenatal Negative
2007575 Hepatitis B Virus Surface Antigen Confimation, Prenatal Non Confirmed
Interpretive Data
 
Note
If RPR is weakly reactive or reactive, then a titer will be added. If Antibody Screen is positive, then Antibody Identification will be added. If results for Hepatitis B Virus Surface Antigen, Prenatal are reactive, then Hepatitis B Virus Surface Antigen Confirmation, Prenatal will be added. Additional charges apply.
CPT Code(s)
86592; if reflexed add 86593; 86317; 86900; 86901; 86850; if reflexed add 86870; 86880; 86906; 85025; 87340; if reflexed add 87341
Components
Aliases
  • Prenatal Panel A