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HelpTest Code KLI* KLEIHAUER TEST, BLOOD
Method
Acid Elution of Adult Hemoglobin
CPT(s)
| Description | CPT Code |
| Kleihauer Test, Blood | 85460 |
Specimen Information
|
Container |
Specimen |
Temperature |
Collect Vol |
Submit Vol |
Minimum Vol |
| Lavender Top Tube | Whole Blood |
Refrigerate |
2.5 mL | 2.5 mL | 1.5 mL |
Reference Range
No fetal cells seen
Instrumentation
Manual Method
LOINC Code Information
| Result Code | Reporting Name | LOINC Code |
| KLI | Kleihauer test, Blood | 48555-7 |
Performing Location
University of Vermont Medical Center
Test Schedule / Analytical Time / Test Priority
Monday – Friday 7 am to 3:30 only / 1 day / Not available STAT
Clinical Indications
|
Definitely Indicated |
Clinical Judgment |
Not Indicated |
|
RhIG (if positive fetal screen) |
Maternal Trauma |
External cephalic version |
|
Fetal loss > 20wks |
Neonatal Anemia |
Non-traumatic abruption |
|
Fetal hydrops |
Cord blood sample |
Vaginal bleeding |
|
High clinical concern for massive fetal maternal hemorrhage with MCA dopplers |
|
If the patient is Rh (-) a Fetal Screen Test should be initially ordered. A Kleihauer-Betke will automatically be reflexed and run on all positive fetal screens.
The Kleihauer-Betke (KB) test is designed to quantitate fetal red blood cells, but the results have been shown to be imprecise with a large coefficient of variation (CV). It is often utilized to quantitate large fetomaternal hemorrhages at the time of delivery in Rh (-) women for appropriate dosing of RhIG to prevent Rh alloimmunization. Although it can be used during pregnancy in both Rh (-) and Rh (+) women to detect fetomaternal hemorrhage, the evidence to support its utility are limited and results should be interpreted with caution.
Section
Hematology
Is the UVMMC lab NY State Certified to perform this testing? Yes/No
Yes