Obstetric Panel

Obstetric Panel

Test Code

20210
80055
20210
80055
Not offered in Quest Nichols Institute - Chantilly, VA | Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection may be available in your area for purchase through Quest Mobile.

Clinical Significance

Obstetric Panel - This panel includes tests used for routine prenatal care during early pregnancy, which have been recommended for all women during early pregnancy by the American College of Obstetricians and Gynecologists (ACOG) [1]. An alternative panel, the Obstetric Panel with Fourth Generation HIV (test code 93802), is available and may be ordered to simultaneously screen for HIV infection.

Additional tests typically done in early pregnancy (but not included in this panel) include urinalysis, tests for sexually transmitted infections and tuberculosis, and blood glucose testing for women at high risk ...

Test Details

Includes

  • CBC (includes Differential and Platelets)
    Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing
    ABO Group and Rh Type
    RPR (Diagnosis) with Reflex to Titer and Treponema pallidum Antibody, IA
    Hepatitis B Surface Antigen with Reflex Confirmation*
    Rubella Antibody (IgG), Immune Status

    If Antibody Screen is positive, then Antibody Identification, Titer, and Antigen Typing will be performed at an additional charge (CPT code(s): 86870, 86886, 86905).
    If RPR screen is Reactive, then RPR Titer and Chemiluminescence - Treponemal Antibody Immunoassay for Confirmatory testing will be performed at an additional charge (CPT Code(s): 86593, 86780).
    If Hepatitis B Surface Antigen is positive, then confirmatory testing based on the manufacturer's FDA approved recommendations will be performed at an additional charge (CPT code(s): 87341).

    *Note: When only a single test, Hepatitis B Surface Antigen, is ordered to diagnose Hepatitis B in a pregnant woman, additional tests such as liver enzymes should be ordered to confirm the diagnosis.

Methodology

See individual tests

Reference Range(s)

See Laboratory Report

Alternative Name(s)

OB Panel,Prenatal Panel

LOINC® Codes, Performing Laboratory

CBC (includes Differential and Platelets)
Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing
ABO Group and Rh Type
RPR (Diagnosis) with Reflex to Titer and Treponema pallidum Antibody, IA
Hepatitis B Surface Antigen with Reflex Confirmation*
Rubella Antibody (IgG), Immune Status

If Antibody Screen is positive, then Antibody Identification, Titer, and Antigen Typing will be performed at an additional charge (CPT code(s): 86870, 86886, 86905).
If RPR screen is Reactive, then RPR Titer and Chemiluminescence - Treponemal Antibody Immunoassay for Confirmatory testing will be performed at an additional charge (CPT Code(s): 86593, 86780).
If Hepatitis B Surface Antigen is positive, then confirmatory testing based on the manufacturer's FDA approved recommendations will be performed at an additional charge (CPT code(s): 87341).

*Note: When only a single test, Hepatitis B Surface Antigen, is ordered to diagnose Hepatitis B in a pregnant woman, additional tests such as liver enzymes should be ordered to confirm the diagnosis.

Methodology

See individual tests

Reference Range(s)

See Laboratory Report

Alternative Name(s)

OB Panel,Prenatal Panel

Preferred Specimen(s)

Whole blood full EDTA (lavender-top) tube and
Whole blood full ACD-A or ACD-B (yellow-top) tube and
6 mL serum

Collection Instructions

EDTA (lavender-top): Maintain specimen at room temperature. Do not refrigerate. Collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets.

Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.

Transport Container

EDTA (lavender-top) tube and
ACD-A or ACD-B (yellow-top) tube and
Transport tube

Transport Temperature

Room temperature

Reject Criteria

Gross hemolysis • Grossly lipemic • Icteric

Setup Schedule

Whole blood full EDTA (lavender-top) tube and
Whole blood full ACD-A or ACD-B (yellow-top) tube and
6 mL serum

EDTA (lavender-top): Maintain specimen at room temperature. Do not refrigerate. Collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets.

Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.

EDTA (lavender-top) tube and
ACD-A or ACD-B (yellow-top) tube and
Transport tube
Room temperature
Gross hemolysis • Grossly lipemic • Icteric
Not offered in Quest Nichols Institute - Chantilly, VA | Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection may be available in your area for purchase through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance 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.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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