FETOMATERNAL BLEED

General Information

HLAB/HOL Code: FMB
UPHSM LIS Test #:
Schedule: Monday - Saturday
Testing Time: 8 hours
Testing Lab: UP Health System-Marquette

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 3mL (min. volume 1mL)
Temperature: Refrigerated
Tube Type: EDTA whole blood
Collection Info:
Stability: up to 4 days

Specimen Acceptability

** Specimen must arrive to lab within 3 days of collection. **

Methods

Flow Cytometry

Clinical Utilities

Used to determine the volume of fetal-to-maternal hemorrhage, for purposes of recommending an increased dose of RhIG.

Recommended standard of practice is to administer RhIG within 72 hours of the fetomaternal bleed for optimal protective effects.  The effectiveness of RhIG decreases after 72 hours post exposure but may still be clinically warranted.

This assay has been validated up to 4 days post collection.


Rh Immune globulin (RhIG, anti-D antibody) binds to fetal D-positive red blood cells, preventing development of the maternal immune response.  RhIG can be given after delivery.  The volume of FMH determines the dose of RhIG to be administered.

CPT Codes

88184

* 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.

Reference Range

0.0 - 0.06% fetal cells in maternal blood.

0.0 - 1.5mL fetal maternal bleed.