Prenatal Reflexive Panel
Ordering Recommendation
Automated Cell Count/Differential/Semi-Quantitative Charcoal Agglutination/Qualitative Chemiluminescent Immunoassay/Semi-Quantitative Chemiluminescent Immunoassay/Hemagglutination/Solid Phase
Refer to individual components
Refer to individual components
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
Specimen Required
Patient Preparation
Lavender (EDTA) or pink (K2EDTA) AND serum separator tube. 
Specimen Preparation
Transport One 3 mL EDTA (Min: 0.5 mL) AND one 7 mL EDTA (Min: 3 mL) whole blood in original containers AND Transfer two 2 mL aliquots serum to individual ARUP Standard Transport Tubes (Min: 2 mL each tube) 
Storage/Transport Temperature
Whole Blood: Refrigerated.
Serum: Refrigerated. 
Unacceptable Conditions
Frozen whole blood. Clotted whole blood. 
Whole Blood: Ambient: 8 hours; Refrigerated: 24 hours; Frozen: Unacceptable
Serum: Ambient: Unacceptable; Refrigerated: 1 week; Frozen; 1 year 
Reference Interval
Test Number
Reference Interval
0050471Rapid Plasma Reagin (RPR) with Reflex to Titer
Test CodeComponentsReference 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 PrenatalABO Typing: A, B, AB, O
Rh Typing: Rh positive/Rh negative
0010020Antibody Screen RBC with Reflex to Identification
Available Separately
Reference Interval
 Antibody Screen AutomatedRefer to report
 AB PANEL (LISS)Refer to report

0040003CBC with Platelet Count and Automated DifferentialEffective May 16, 2016
Test Number
Reference Interval
0040080HematocritRefer to report
0040085HemoglobinRefer to report
0040270Red Blood Cell CountRefer to report
0040320White Blood Cell CountRefer to report
 Red Cell Distribution WidthRefer to report
 Mean Platelet VolumeRefer to report
 Immature Platelet FractionRefer to report
0040235PlateletsRefer to report
 Mean Corpuscular VolumeRefer to report
 Mean Corpuscular HemoglobinRefer to report
 Mean Corpuscular HGB ConcentrationRefer to report
 Granulocyte #Refer to report
 Granulocyte %Refer to report
 Eosinophil %Refer to report
 Eosinophil #Refer to report
 Basophil #Refer to report
 Basophil %Refer to report
 Monocyte #Refer to report
 Monocyte %Refer to report
 Lymphocyte #Refer to report
 Lymphocyte %Refer to report
 Nucleated Red Blood Cells %Refer to report
 Nucleated Red Blood Cell #Refer to report
 Immature Granulocytes %Refer to report
 Immature Granulocytes #Refer to report

2007573Hepatitis B Virus Surface Antigen with Reflex to Confirmation, Prenatal
Test Number
Reference Interval
Hepatitis B Virus Surface Antigen, PrenatalNegative
2007575Hepatitis B Virus Surface Antigen Confirmation, PrenatalNon Confirmed

Interpretive Data

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; 86762; 86900; 86901; 86850; if reflexed add 86870; 86880; 86906; 85025; 87340; if reflexed add 87341
Component Test Code*Component Chart NameLOINC
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
  • Prenatal Panel A