Antibody Titer RBC IgG or Allo Antibody

General Information

Lab Name
Ab Titer RBC IgG or Allo Ab
Lab Code
ABTIGG
Epic Name
Antibody Titer RBC IgG or Allo Antibody
Description

Indications: Determination of the titer of clinically significant IgG (non-ABO) antibodies present in the patient’s plasma.

Test information: This test is most often performed on the plasma of pregnant women which contains an antibody(ies) implicated in causing Hemolytic Disease of the fetus and newborn (HDFN). Serial, two-fold dilutions of serum are tested against red cells carrying the antigen of interest (e.g., D, K) using the indirect antiglobulin method. Result is expressed as the reciprocal of the highest serum dilution which still shows (1+) agglutination. This test is used to monitor serum alloantibody levels in previously sensitized pregnant women for prenatal management of hemolytic disease of the newborn (HDN).Testing may be repeated at intervals throughout the pregnancy to monitor for a significant increase in titer. In women with Rh alloimmunization, anti-D levels greater or equal to 16 are generally considered an indication for invasive fetal testing.

Synonyms
Red blood cell alloantibody, Red cell antibody titer
Components

Interpretation

Reference Range
See individual components

Ordering & Collection

Specimen Type
Blood
Collection

Preferred: 6 mL blood in PINK TOP (EDTA) tube

Also Acceptable: 6 mL LAVENDER TOP (EDTA) tube

Note: Two signatures (individual obtaining the sample and a second verifier) are required on the sample label.

Handling Instructions

Note: Two signatures (individual obtaining the sample and a second verifier) are required on the sample label.

Quantity
Requested: 6 mL EDTA whole blood
Minimum: 3 mL EDTA whole blood

Processing

Receiving Instructions

Forward samples directly to UWMT Transfusion Service Lab (TSL).

Misc Sendout

Performance

Lab Department
Blood Bank(BB)
Frequency
Performed: Daily.
Available STAT?
No
Performing Location(s)
UW-MT Transfusion Service
206-520-4600

Clinical Lab, Room # NN601,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Billing & Coding

CPT Codes
86850, 86886
LOINC
50962-0