Transfuse PRBCs (Type and Cross); Add Comment: "GRANULOCYTES"

Message

Performed in Blood Bank. A "Physician Approval to Transfuse Under Abnormal or Unusual Circumstances" form must be signed by the physician for Granulocytes to acknowledge incomplete donor testing on the product.
Related Tests: Type and Screen, Type and Crossmatch

Test Code

Transfuse Granulocytes

Alias/See Also

Granulocyte Pheresis

Preferred Specimen

A current type and screen must be performed prior to ordering the product from the blood supplier in order to find an appropriate donor. Call Blood Bank for clarification. Granulocytes must be crossmatched after they have been received from the blood supplier.

Instructions

Granulocytes are ordered through the Transfuse PRBCs Advisor with an order comment "Granulocytes." The following special ordering instructions MUST be included on the requisition:

HLA Testing: Attention to HLA compatibility is also required for allo-immunized recipients.
Irradiated: Granulocytes must always be Irradiated to prevent GVHD.

Ordering Comments, if applicable:

CMV Seronegative: Must be approved by Laboratory Medical Director.

PRODUCT EXPIRATION/TRANSFUSION:
Granulocytes expire 24 hours after collection from the donor.

Setup Schedule

Granulocytes must be ordered from the blood supplier and are not available as a stock blood component. They require a minimum of 24 hours notice prior to transfusion to allow preparation of the donor. Call the Blood Bank for specific information on availability.

Clinical Significance

INDICATIONS FOR USE: Detailed information on recommendations for transfusion can be found in the "AABB Circular of Information for the Use of Human Blood and Blood Components" located on the AABB web site (link below).
http://www.aabb.org/tm/coi/Pages/default.aspx

TRANSFUSION: Granulocytes are recommended for the treatment of neutropenic patients who have documented infections, especially gram-negative bacteria and fungus, and who have not responded to antibiotics.

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.