Transfuse Pediatric Plasma

Message
Blood Bank


Test Code
XXX6


Physician Attestation of Informed Consent
Consent is required to be documented in EPIC prior to transfusion.


Preferred Specimen
Sample not required, if blood type on file. Blood Bank will call if sample required.


Instructions
Do not order until there is an order to transfuse a specific volume. Plasma will routinely be provided prefiltered in a syringe.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
QNS


FDA Status
Approved

Report Available
Aliquot preparation 1h from order receipt.


Performing Laboratory
Hoag Newport Beach, Hoag Irvine



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.