How does everyone bill for an LUI freeze eluate performed on cord bloods?  Do you just charge CPT 86860 for the eluate?  Do you charge for 86860 and the ABID CPT86870 or ABSC CPT 86850?  We test the eluate with 3 screening cells and A/B cells.   Thank you for your input!

We stopped doing LUI freeze eluates a very long time ago. If Mom has no clinically significant antibodies and there is an ABO incompatibility between Mom and infant, it is pretty clear the cause of the Positive DAT on the baby. There will be no difference in the treatment of the baby if we did the LUI freeze. Our report goes out as Possible ABO incompatibility, no further testing indicated. Regardless, in Canada we don't bill anything, it is covered by our healthcare benefits. My point is that other than a way to bill the patient, it isn't a clinically significant test. 

We do the same as Nikki.  If an eluate is needed, an acid elution is done.  No LUI freeze on the menu.

sandra

@AuntiS Must be a Canadian thing. 

27 minutes ago, NicolePCanada said:

@AuntiS Must be a Canadian thing. 

It isn't.  We used it whenever we were looking at a possible ABO HDFN in the Reference Laboratory at NHSBT-Tooting Centre.

i've used it for ABHHDN for decades.

I meant a Canadian thing to not do it.

 

30 minutes ago, NicolePCanada said:

I meant a Canadian thing to not do it.

 

Sorry, my apologies - wrong end of the stick!