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PRENATAL PROFILE II

Test Code

20210X

CPT Code(s)

80055
85025
86592
86762
86850
86900
86901
87340

Includes

CBC (Includes Differential and Platelet Count); Antibody Screen, RBC with Reflex to ID and Titer; ABO Group and Rh Type; RPR Reflex to Titer and Confirmation; Hepatitis B Surface Antigen (HBsAg) with Reflex to Confirmation* (Positive samples will be confirmed based on the manufacturer's FDA approved recommendations at an additional charge (CPT code(s): 87341); Rubella Virus IgG Antibody

If Antibody Screen is positive, Antibody Identification, Titer, and Antigen Typing will be performed at an additional charge (CPT code(s): 86870, 86886, 86905).
If RPR screen is reactive, RPR Titer and FTA Confirmatory testing will be performed at an additional charge (CPT code(s): 86593, 86780).

*Note: When only a single test, Hepatitis B Surface Antigen, is ordered to diagnose Hepatitis B in a pregnant woman, additional tests such as liver enzymes should be ordered to confirm the diagnosis.

Preferred Specimen(s)

(35010) CBC (INCLUDES DIFF/PLT)
WB
WHOLE BLOOD (FULL LAVENDER-TOP (EDTA) TUBE)

INSTRUCTIONS:
MAINTAIN SPECIMEN AT ROOM TEMPERATURE. IF MULTIPLE DRAW
COLLECT LAVENDER-TOP (EDTA) TUBE LAST. TRAUMATIC TAP CAN
INTRODUCE THROMBOPLASTIN AND TRAP WBC AND PLATELETS.
REFRIGERATION CAN PRECIPITATE FIBRIN AND TRAP WBC AND
PLATELETS. DO NOT REFRIGERATE.
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
SR
2 ML SERUM
(50205) ABO/RH/ANTIBODY SCR W/REFLEX TO ID
WB
5 ML OF WHOLE BLOOD IN A YELLOW TOP (ACD-A OR ACD-B) TUBE
(54001) RPR/REFLEX TPPA
SR
1 ML SERUM
(55010) RUBELLA AB, IgG
SR
1 ML SERUM

Minimum Volume

(35010) CBC (INCLUDES DIFF/PLT)
1.0 ML
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
0.5 ML
(50205) ABO/RH/ANTIBODY SCR W/REFLEX TO ID
N/A
(54001) RPR/REFLEX TPPA
0.5 ML
(55010) RUBELLA AB, IgG
1.0 ML

Alternative Specimen(s)

(50205) ABO/RH/ANTIBODY SCR W/REFLEX TO ID
PINK TOP-EDTA
LAVENDER TOP

Transport Container

(35010) CBC (INCLUDES DIFF/PLT)
LAVENDER TOP
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
SERUM TRANSPORT TUBE
(50205) ABO/RH/ANTIBODY SCR W/REFLEX TO ID
YELLOW TOP
(54001) RPR/REFLEX TPPA
SERUM TRANSPORT TUBE
(55010) RUBELLA AB, IgG
SERUM TRANSPORT TUBE

Transport Temperature

(35010) CBC (INCLUDES DIFF/PLT)
ROOM TEMPERATURE
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
ROOM TEMPERATURE
(50205) ABO/RH/ANTIBODY SCR W/REFLEX TO ID
ROOM TEMPERATURE
(54001) RPR/REFLEX TPPA
ROOM TEMPERATURE
(55010) RUBELLA AB, IgG
ROOM TEMPERATURE

Specimen Stability

(35010) CBC (INCLUDES DIFF/PLT)
ROOM TEMPERATURE: 2 DAYS
REFRIGERATED: UNSTABLE
-20 DEG. C: UNSTABLE
-70 DEG. C: UNSTABLE
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
ROOM TEMPERATURE: 7 DAYS
REFRIGERATED: 14 DAYS
-20 DEG C: INDEFINITELY
-70 DEG C: INDEFINITELY
(54001) RPR/REFLEX TPPA
ROOM TEMPERATURE: 4 DAYS
REFRIGERATED: 7 DAYS
-20 DEG. C: 30 DAYS
-70 DEG. C: INDEFINITELY
(55010) RUBELLA AB, IgG
ROOM TEMPERATURE: 4 DAYS
REFRIGERATED: 7 DAYS
FROZEN: 30 DAYS

Methodology

See individual tests

Performing Laboratory

Quest Diagnostics
3714 Northgate Blvd
Sacramento, CA 95834

Setup Time

(35010) CBC (INCLUDES DIFF/PLT)
2ND, 3RD SHIFT
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
1ST SHIFT
(54001) RPR/REFLEX TPPA
1ST SHIFT
(55010) RUBELLA AB, IgG
1ST SHIFT

Setup Days

(35010) CBC (INCLUDES DIFF/PLT)
MON - SUN
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
MON - FRI
(50205) ABO/RH/ANTIBODY SCR W/REFLEX TO ID
MON - FRI
(54001) RPR/REFLEX TPPA
SUN - FRI
(55010) RUBELLA AB, IgG
MON - FRI

Report Available

(35010) CBC (INCLUDES DIFF/PLT)
24 HOURS
(42720) HEP B SURFACE Ag W/REFLEX CONFIRM
24 HOURS
(54001) RPR/REFLEX TPPA
24 HOURS
(55010) RUBELLA AB, IgG
24 HOURS

Clinical Significance

See individual tests

LOINC®' Code(s)

The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.

NOTE: The codes listed in the table below are not orderable Test Codes.

Result
Code
Result NameLOINC CodeComponent Name
1800LYMPHOCYTES736-9Lymphocytes/100 leukocytes
2110ABSOLUTE LYMPHOCYTES731-0Lymphocytes
2200MONOCYTES5905-5Monocytes/100 leukocytes
2400ABSOLUTE MONOCYTES742-7Monocytes
2500EOSINOPHILS713-8Eosinophils/100 leukocytes
2700ABSOLUTE EOSINOPHILS711-2Eosinophils
2800BASOPHILS706-2Basophils/100 leukocytes
3000WHITE BLOOD CELL COUNT6690-2Leukocytes
3003ABSOLUTE BASOPHILS704-7Basophils
3100RED BLOOD CELL COUNT789-8Erythrocytes
31100BAND NEUTROPHILS764-1Neutrophils.band form/100 leukocytes
31110ABSOLUTE BAND NEUTROPHILS26507-4Neutrophils.band form
31300METAMYELOCYTES740-1Metamyelocytes/100 leukocytes
31310ABSOLUTE METAMYELOCYTES30433-7Metamyelocytes
31500MYELOCYTES749-2Myelocytes/100 leukocytes
31510ABSOLUTE MYELOCYTES30446-9Myelocytes
31520PROMYELOCYTES783-1Promyelocytes/100 leukocytes
31530ABSOLUTE PROMELOCYTES26523-1Promyelocytes
31700ABSOLUTE NEUTROPHILS751-8Neutrophils
3200HEMOGLOBIN718-7Hemoglobin
32000REACTIVE LYMPHOCYTES13046-8Lymphocytes.variant/100 leukocytes
3300HEMATOCRIT4544-3Hematocrit
3340BLASTS709-6Blasts/100 leukocytes
3350ABSOLUTE BLASTS30376-8Blasts
3360NUCLEATED RBC19048-8Erythrocytes.nucleated/100 leukocytes
3400MCV787-2Erythrocyte mean corpuscular volume
3500MCH785-6Erythrocyte mean corpuscular hemoglobin
3600MCHC786-4Erythrocyte mean corpuscular hemoglobin concentration
3610ABSOLUTE NUCLEATED RBC30392-5Erythrocytes.nucleated
3700RDW788-0Erythrocyte distribution width
3800PLATELET COUNT777-3Platelets
3900NEUTROPHILS770-8Neutrophils/100 leukocytes
4200COMMENTS:8251-1Service comment
4600MPV776-5Platelet mean volume
42720HEPATITIS B SURFACE Ag5196-1Hepatitis B virus surface Ag
42721NEUTRALIZATION7905-3Hepatitis B virus surface Ag
50200BLOOD GROUPING883-9ABO group
50201Rh FACTOR10331-7Rh
50202AB SCREEN (IND. COOMBS)890-4Blood group antibody screen
54001RPR (STS), QUAL20507-0Reagin Ab
55010RUBELLA AB, IgG5334-8Rubella virus Ab.IgG

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.