Obstetric Panel

Supply #T01 - Red/Gray SST 8.5mL
Supply #T59 Lavender 4mL Blood Tube
Supply #T15 ACD-B 6mL Blood Tube (Yellow Top)

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

Collection Guide: 

Supply: T01 - Red/Gray SST 8.5mL, T59 - Lavender 4mL Blood Tube, and T15 - 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.