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Blood typing, serologic; Rh phenotyping, complete

CPT4 code

Name of the Procedure:

Blood Typing, Serologic; Rh Phenotyping, Complete

Common Name(s): Blood Typing and Rh Factor Testing

Summary

Blood typing and Rh phenotyping are tests used to identify your blood group (A, B, AB, or O) and Rh factor (positive or negative). These tests are essential in determining the compatibility for blood transfusions, organ transplants, and pregnancy management.

Purpose

Blood typing and Rh phenotyping address potential blood compatibility issues. The goal is to ensure safe blood transfusions, prevent hemolytic disease in newborns, and manage Rh incompatibility in pregnancies.

Indications

  • Preparing for a blood transfusion
  • Pregnancy management
  • Pre-surgical preparation
  • Diagnosing hemolytic disease of the newborn
  • Establishing blood donor and recipient compatibility

Preparation

No special preparation is needed for blood typing and Rh phenotyping. It involves a simple blood draw, so you may be instructed to stay hydrated and inform your healthcare provider of any medications you are taking.

Procedure Description

  1. A healthcare provider will clean the area on your arm with an antiseptic wipe.
  2. A tourniquet is applied to make your veins more visible.
  3. A needle is inserted into a vein to draw a blood sample.
  4. The blood sample is sent to a lab, where specific serologic tests will be performed to determine your blood type and Rh factor using reagents that will cause reactions if certain antigens are present on the red blood cells.

Duration

The blood draw takes about 5-10 minutes. Lab processing can take a few hours to a couple of days depending on the complexity of the testing.

Setting

This procedure is typically performed in hospitals, outpatient clinics, or specialized laboratories.

Personnel

  • Phlebotomist or Nurse (for blood draw)
  • Laboratory Technologist or Pathologist (for blood typing analysis)

Risks and Complications

  • Minor bruising or bleeding at the puncture site
  • Rare risk of infection
  • Possible slight dizziness or fainting during blood draw

Benefits

  • Identification of blood type for safe transfusion and medical treatment.
  • Prevention of adverse reactions during blood transfusions.
  • Management of Rh incompatibility in pregnancies to prevent hemolytic disease in newborns.

Recovery

  • Minimal recovery time is required.
  • You may need to apply pressure to the puncture site and keep it clean.
  • Resume normal activities immediately unless instructed otherwise by your healthcare provider.

Alternatives

  • Non-invasive prenatal blood type testing (specific to pregnancy)
  • Alternative methods for identifying Rh factor with advanced genetic tests (less commonly used)

Patient Experience

You may feel a quick pinch or mild discomfort when the needle is inserted. Post-procedure, you might have a small bruise or slight soreness at the puncture site. Any discomfort is usually minimal and temporary. Informing the healthcare provider of any concerns can help manage anxiety or pain effectively.

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