Obstetric PanelMain Content
Test Code: 20210
CPT Code(s): 80055, 85025, 86592, 86762, 86850, 86900, 86901, 87340
CBC (includes Differential and Platelets)
Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing
ABO Group and Rh Type
RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing
Hepatitis B Surface Antigen with Reflex Confirmation*
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).
If Hepatitis B Surface Antigen is positive, confirmatory testing based on the manufacturer's FDA approved recommendations will be performed at an additional charge (CPT code(s): 87341).
Methodology: See individual tests
Clinical Significance: See individual tests
Alternative Name(s): OB Panel, Prenatal Panel
Supply: 193262 Red/Gray SST 8.5mL, 193292 Lavender 4mL Blood Tube, and 53725 ACD-B 6mL Blood Tube (Yellow Top)
Preferred Specimen: Serum in SST, Whole blood in EDTA, Whole blood in ACD (yellow top) tube
Preferred Volume: SST: 4mL; EDTA: 4mL; ACD: 5mL
Transport Container: Serum Separator Tube (SST), Lavender Top EDTA; Yellow Top ACD
Transport Temperature: Room Temperature
Specimen Stability: See individual tests
Special Instructions: 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.
Rejection Criteria: Received clotted or frozen
For additional supply or collection device information, please contact DLO's Customer Service at (800) 891-2917, option 2.
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 Payor being billed.