Epic Code LAB8920 Cord Blood Workup (Hospital Sites Only)
Test Name Alias
Cord Blood Workup | ABRH | CDEV(SJ,N) | CORD EVAL | CORD WKUP | Cord Blood Evaluation CHES
Interface Order Alias
8920
Quick Collect
CHW: BB 2 SIGNERS
Clinical Information
Cord blood samples are tested to determine the ABO/Rh type of the infant and to detect the presence of ABO, Rh, or other antibodies potentially involved in hemolytic disease of the newborn (HDN).
Cord blood specimens may be contaminated with Wharton's jelly and other cord contaminants. The red cells from cord specimens must be washed thoroughly before they are tested. Newborns do not have their own ABO antibodies, therefore ABO reverse type is not performed.
Providers will order a Cord Blood Workup on the infant in the hospital information system, including the entry of the mother’s MRN as part of the order which can be helpful to determine if HDN testing should be performed. It is also used to compare identifying information on the specimen label.
Collection Instructions
Specimen Collection: Cord Blood
Container(s): Lavender Top (EDTA) or sterile conical container
Preferred Volume to Collect: 3.0 mL
Minimum Volume to Collect: 1.0 mL
Collection Instructions:
- Blood is collected from the infant’s umbilical cord at the time of delivery and is placed in a labeled screw top specimen vial or EDTA.
- Gently invert EDTA tube(s) 8 - 10 times after collection.
- CHS LABEL: Collect Blood Bank tube using Typenex Armband. Refer to CHS Collecing Inpatient/Outpatient Blood Bank Specimen Procedure LTR41239
-
CHW LABEL
- Label must have the infant's name, MRN, collection date and the user ID's of the person labeling the specimen and the witness.
-
BB 2 SIGNERS:
- Specimens for Blood Bank must have 2 signatures on the specimen written in ink that is resistant to smearing.
- A "CORD BLOOD" label may also be placed on the specimen
- Non-EDTA cord blood specimens are considered clotted specimens.
- If cord blood sample volume is insufficient for testing, mislabeled or no cord blood sample is available, request a Newborn Blood Bank Workup order and a heel stick specimen collected.
Specimen Stability
Ambient: 24 hours
Refrigerate: 48 hours
Laboratory Retention: 7 days
Test Frequency
Available 24 hours, usual TAT 1 day.
Reference Range
Reference rangeis not available.
Performing Department
Blood Bank
Performing Department Laboratory Location
Blood Bank - Corewell Health Big Rapids Laboratory, Big Rapids, MI
Blood Bank - Corewell Health Butterworth Laboratory. Grand Rapids, MI
Blood Bank - Corewell Health Gerber Laboratory, Fremont, MI
Blood Bank - Corewell Health Greenville Laboratory, Greenville, MI
Blood Bank - Corewell Health Lakeland Niles Laboratory, Niles, MI
Blood Bank - Corewell Health Lakeland St. Joseph Laboratory, St. Joseph, MI
Blood Bank - Corewell Health Ludington Laboratory, Ludington, MI
Blood Bank - Corewell Health Pennock Laboratory, Hastings, MI
Blood Bank - Corewell Health Zeeland Laboratory, Zeeland, MI
Methodology
CHW: Hemagglutination and solid phase adherence
CHS: Gel and Tube
CPT
86900-LAB-ABO
86901-LAB-RH-TYPYING 3
86850-LAB-ANTIBODY SCREEN
86880-LAB-ANTIGLOBULIN DIRECT
Epic Test ID
1230101277
Mayo Access Code
Not available
Reviewed Date
2/7/2025
Updated Date
4/3/2025 - Collection Instructions, Important Note updated (dep rev 2025), methodology, CHS information added.