3825      Fetal HgB Quant [For OB use ONLY]
Specimen:
  Collect: One 6 mL Pink Top (EDTA)

Also Acceptable
One 4 mL Lavender (EDTA)
One 4 mL Green Top (Li Heparin)
One 4 mL Gray Top 
  Submit: One 6 mL Pink Top (EDTA). Submit Refrigerated.

Also Acceptable
One 4 mL Lavender (EDTA). Submit Refrigerated.
One 4 mL Green Top (Li Heparin). Submit Refrigerated.
One 4 mL Gray Top. Submit Refrigerated.  
  Special Handling: Please label specimen with pre-numbered requisition sticker. Also using a positive identification wristband, label specimen with patient's full name, medical records number (also acceptable: DOB or SS#), date, time, and phlebotomist's initials 
  Rejection Criteria: Grossly Hemolyzed Samples
Specimen not properly labeled 
  Stability: Ambient: Unacceptable; Refrigerated: 3 Day(s); Frozen: Unacceptable; Incubated: Unacceptable 
Methodology: Microscopy 
Performed: Sun-Sat 
Reported: 1-3 Day(s) 
CPT Codes:
83030 - Fetal Hemoglobin
Interpretive Data:
General Reference Range : <0.3 %

FETAL HEMOGLOBIN reference range applies to perinatal use only.