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Transfusion Reaction Workup

Message
Performed in Blood Bank
Related Tests: Type and Cross, Direct Antiglobulin Test (DAT)


Test Code
TXRN


Preferred Specimen
Pink 6.0 mL
Urine Container or Yellow Top Urine Tube 1.0 mL


Other Acceptable Specimens
Lavender 6.0 mL -  Usable, but not preferred.
Red top tubes are NOT the specimen of choice.  Please contact the Blood Bank concerning samples collected in these tubes.


Instructions
Special Blood Bank Identification process is required for a Transfusion Reaction Workup. Sample should be labeled with Blood Bank Identification band already on patient, if present.  A handwritten BBID is acceptable if no additional labels are present on band.  Related procedure: Banner Intranet under Policies & Procedures, titled "Transfusion Reactions."


Report Available
Transfusion Reaction Workups are performed as a STAT procedure. Results of testing are reviewed by a pathologist. Preliminary results, either positive or negative evaluations are called to the caregiver.  If testing indicates serologic evidence of a transfusion reaction, the physician will be contacted.


Reference Range



Clinical Significance
Positive transfusion reaction results that indicate a possible hemolytic transfusion reaction, TRALI or bacterial contamination of the unit are critical and are called to the nursing unit / physician.




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.