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Test Code 057 Direct Antiglobulin Test

Important Note

Inform the laboratory blood bank of the patient's transfusion and drug history of the past year, especially in regard to blood pressure medication, diuretics and antibiotics.

Additional Codes

MLAB: DAT

PowerChart: Direct Coombs (DAT)

Epic: LAB274 Direct Antigloblin Test

MA Cerner: Direct Antiglobulin Test.

Test Method

AABB Standard: Agglutination of red cells with an antiserum represents the presence of the corresponding antigen in the red cells; Ortho Gel Cards. (AABB Technical manual. 14th edition. Edited by V Vengelen-Tyler. Bethesda, MD, American Association of Blood Banks 2002)

Specimen Requirement

0.5 mL whole blood is required.

Additional Specimen Collection Information

Red blood cells (collected with EDTA purple-top, heparin green-top or citrate lt. blue-top) or cord blood (collected in 0.5 mL sodium or lithium heparin (100 USP/mL) at time of delivery). Plasma gel tubes are NOT acceptable.
Micro specimen: Capillary collection device is used to collect the specimen.

Performance

Testing is performed Monday through Sunday. (MA West: Monday through Saturday.)

Routine: Typically completed within 4 hours after the specimen arrives at the testing site.

Mercy DV and MA West within 24 hours

Expedite: Typically completed within 1 hour after the specimen arrives at the testing site.

STAT: Typically completed within 30 minutes after the specimen arrives at the testing site.

Reference Values

Direct Antiglobulin Test:

  • IgG/C3D: Negative
  • If positive cells are retested using IgG antiserum.

CPT Code Information

86880 Direct Antiglobulin Test

Useful For

Detecting possible ABO or Rh(D) incompatibility with mother's blood.

Demonstrates in vivo coating of RBCs with IgG or the complement component C3d.

LOINC Code Information

1007-4 Direct Antiglobulin Test.Poly Specific Reagent [Presence] On Red Blood Cells