Test Id : SPAGR
Special Red Cell Antigen Typing, Whole Blood
    
        Useful For
            
                
                
                    
                    Suggests clinical disorders or settings where the test may be helpful
                
            
    
    Additional proof of alloantibody specificity
Determining possible antibody specificities in complex cases
This test is not useful for the purpose of establishing paternity
    
        Reflex Tests
            
                
                
                    
                    Lists tests that may or may not be performed, at an additional charge, depending on the result and interpretation of the initial tests.
                
            
    
    | Test Id | Reporting Name | Available Separately | Always Performed | 
|---|---|---|---|
| DC3TR | Direct Antiglobulin Test (C3) | No | No | 
| DIGTR | Direct Antiglobulin Test (IgG) | No | No | 
| STTX32 | Red Cell Antigen Typing | No | No | 
| DATR | Direct Antiglobulin Tst (Poly) | No | No | 
    
        Testing Algorithm
            
                
                
                    
                    Delineates situations when tests are added to the initial order. This includes reflex and additional tests.
                
            
    
    List the specific antigens desired on the order.
Note: Antigen typings that require the use of an anti-human globulin reagent (eg, Fya, Fyb, s) will include the addition of a direct antiglobulin test, which will be performed at an additional charge.
Examples of antigens routinely tested by the lab are listed below.
-Fya/Fyb
-C
-c (little c)
-E 
-e (little e)
-K
-Fya
-Fyb
-Jka
-Jkb
-M
-N
-S
-s (little s)
-Complete phenotype (13 antigens listed above)
-McLeod (K system antigens)
-Other
    
        Method Name
            
                
                
                    
                    A short description of the method used to perform the test
                
            
    
    Hemagglutination
    
        NY State Available
            
                
                
                    
                    Indicates the status of NY State approval and if the test is orderable for NY State clients.
                
            
    
    
    
        Reporting Name
            
                
                
                    
                    Lists a shorter or abbreviated version of the Published Name for a test
                
            
    
    
    
        Aliases
            
                
                
                    
                    Lists additional common names for a test, as an aid in searching
                
            
    
    A1 subtype-Order Test A1R (113437)
SPAGR
Special Red Cell Ag Typing
Complete Cell Typing (RBC Ag type)
Duffy Antigen
JK(a)
Kell Antigen
Kell Factor
Kell Typing Red Cell Phenotype
Lewis Antigen Typing
M Antigen
McCloud Phenotype-KX Antigen
McLeod Phenotype
Phenotype
RBC Ag Type Phenotype
RBC Genotype
Red Cell Antigen
Red Cell Phenotype, Kell Typing
XG Blood Typing
Benign ethnic neutropenia (Fya, Fyb)
    
        Testing Algorithm
            
                
                
                    
                    Delineates situations when tests are added to the initial order. This includes reflex and additional tests.
                
            
    
    List the specific antigens desired on the order.
Note: Antigen typings that require the use of an anti-human globulin reagent (eg, Fya, Fyb, s) will include the addition of a direct antiglobulin test, which will be performed at an additional charge.
Examples of antigens routinely tested by the lab are listed below.
-Fya/Fyb
-C
-c (little c)
-E 
-e (little e)
-K
-Fya
-Fyb
-Jka
-Jkb
-M
-N
-S
-s (little s)
-Complete phenotype (13 antigens listed above)
-McLeod (K system antigens)
-Other
    
        Specimen Type
            
                
                
                    
                    Describes the specimen type validated for testing
                
            
    
        Whole Blood EDTA
    
        Shipping Instructions
    
    Specimen must arrive within 7 days of draw.
    
        Necessary Information
    
    The desired antigens to be tested must be included or testing will not proceed.
    
        ORDER QUESTIONS AND ANSWERS
    
    | Question ID | Description | Answers | 
|---|---|---|
| ATBTR | Antigen(s) to be tested? | Fya/Fyb C c (little c) E e (little e) K Fya Fyb Jka Jkb M N S s (little s) Complete phenotype (13 antigens listed above) McLeod (K system antigens) Other | 
    
        Specimen Required
            
                
                
                    
                    Defines the optimal specimen required to perform the test and the preferred volume to complete testing
                
            
    
    Container/Tube:
Preferred: Pink top (EDTA)
Acceptable: Lavender top (EDTA)
Specimen Volume: 6 mL
Pediatric Volume: 3 mL Blood in pink-top or lavender-top (EDTA) tube
Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.
    
        Specimen Minimum Volume
            
                
                
                    
                    Defines the amount of sample necessary to provide a clinically relevant result as determined by the testing laboratory. The minimum volume is sufficient for one attempt at testing.
                
            
    
    See Specimen Required
    
        Reject Due To
            
                
                
                    
                    Identifies specimen types and conditions that may cause the specimen to be rejected
                
            
    
    | Gross hemolysis | OK | 
    
        Specimen Stability Information
            
                
                
                    
                    Provides a description of the temperatures required to transport a specimen to the performing laboratory, alternate acceptable temperatures are also included
                
            
    
    | Specimen Type | Temperature | Time | Special Container | 
|---|---|---|---|
| Whole Blood EDTA | Refrigerated (preferred) | 7 days | |
| Ambient | 72 hours | 
    
        Useful For
            
                
                
                    
                    Suggests clinical disorders or settings where the test may be helpful
                
            
    
    Additional proof of alloantibody specificity
Determining possible antibody specificities in complex cases
This test is not useful for the purpose of establishing paternity
    
        Testing Algorithm
            
                
                
                    
                    Delineates situations when tests are added to the initial order. This includes reflex and additional tests.
                
            
    
    List the specific antigens desired on the order.
Note: Antigen typings that require the use of an anti-human globulin reagent (eg, Fya, Fyb, s) will include the addition of a direct antiglobulin test, which will be performed at an additional charge.
Examples of antigens routinely tested by the lab are listed below.
-Fya/Fyb
-C
-c (little c)
-E 
-e (little e)
-K
-Fya
-Fyb
-Jka
-Jkb
-M
-N
-S
-s (little s)
-Complete phenotype (13 antigens listed above)
-McLeod (K system antigens)
-Other
    
        Clinical Information
            
                
                
                    
                    Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test
                
            
    
    The presence or absence of a cellular antigen is an inherited trait. Generally, individuals will not make antibody directed against an antigen present on their own red blood cells.
    
        Reference Values
            
                
                
                    
                    Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.
                
            
    
    Reported as positive or negative
    
        Interpretation
            
                
                
                    
                    Provides information to assist in interpretation of the test results
                
            
    
    Each antigen typed will be listed by name, followed by "pos" or "+" indicating that the antigen is present, or by "neg" or "-" indicating that the antigen is absent.
    
        Clinical Reference
            
                
                
                    
                    Recommendations for in-depth reading of a clinical nature
                
            
    
    Cohn CS, Delaney M, Johnson ST, Katz LM, Schwartz J, eds. Technical Manual. 21st ed. AABB; 2023
    
        Method Description
            
                
                
                    
                    Describes how the test is performed and provides a method-specific reference
                
            
    
    Hemagglutination; technique will vary according to reagent antisera source and specificity.(Cohn CS, Delaney M, Johnson ST, Katz LM, Schwartz J, eds. Technical Manual. 21st ed. AABB; 2023)
    
        PDF Report
            
                
                
                    
                    Indicates whether the report includes an additional document with charts, images or other enriched information
                
            
    
    
    
        Day(s) Performed
            
                
                
                    
                    Outlines the days the test is performed. This field reflects the day that the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time before the test is performed. Some tests are listed as continuously performed, which means that assays are performed multiple times during the day.
                
            
    
    Monday through Friday, Sunday
    
        Report Available
            
                
                
                    
                    The interval of time (receipt of sample at Mayo Clinic Laboratories to results available) taking into account standard setup days and weekends. The first day is the time that it typically takes for a result to be available. The last day is the time it might take, accounting for any necessary repeated testing.
                
            
    
    
    
        Specimen Retention Time
            
                
                
                    
                    Outlines the length of time after testing that a specimen is kept in the laboratory before it is discarded
                
            
    
    
    
        Performing Laboratory Location
            
                
                
                    
                    Indicates the location of the laboratory that performs the test
                
            
    
    
    
        Fees :
            
                
                
                    
                    Several factors determine the fee charged to perform a test. Contact your U.S. or International Regional Manager for information about establishing a fee schedule or to learn more about resources to optimize test selection.
                
            
    
    - Authorized users can sign in to Test Prices for detailed fee information.
- Clients without access to Test Prices can contact Customer Service 24 hours a day, seven days a week.
- Prospective clients should contact their account representative. For assistance, contact Customer Service.
    
        Test Classification
            
                
                
                    
                    Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR) product.
                
            
    
    This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.
    
        CPT Code Information
            
                
                
                    
                    Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Clinic Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.
CPT codes are provided by the performing laboratory.
                
            
    
    CPT codes are provided by the performing laboratory.
86905-Each red cell antigen typing (if more than one ordered)
    
        LOINC® Information
            
                
                
                    
                    Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the order and results codes of this test. LOINC values are provided by the performing laboratory.
                
            
    
    | Test Id | Test Order Name | Order LOINC Value | 
|---|---|---|
| SPAGR | Special Red Cell Ag Typing | 906-8 | 
| Result Id | Test Result Name | Result LOINC Value 
                                        
                                        Applies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
                                     | 
|---|---|---|
| AGTR | Red Cell Antigen Typing | 906-8 | 
| ATBTR | Antigen(s) to be tested? | 33062-1 |