Prenatal Reflexive Panel
Ordering Recommendation
Automated Cell Count/Differential/Semi-Quantitative Charcoal Agglutination/Qualitative Chemiluminescent Immunoassay/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.
Specimen Required
Patient Preparation
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.
Unacceptable Conditions
Frozen whole blood. Clotted whole blood.  
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
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
Cross References
  • Prenatal Panel A