CPT Codes: NA

Laboratory Category Test Name Description Turn Around Times Sample, Packaging & Shipping Requirements CPT Code Form
CTL Autologous & Allogeneic Stem Cells Base Lab Processing of Pheripheral Blood Progenitor Cells and Bone Marrow After Hours

Base lab processing from 2300 to 0600, weekends and holidays

NA NA NA CTL Requisition Form HPP 163
IRL Red Cell Serology Computer Unit Search

Computer search of the Vitalant inventory for specifically typed products

2 hours NA NA Contact IRL Laboratory
CTL Autologous & Allogeneic Stem Cells Cord Blood Dilution – No Wash (without CD34)

Dilution of DMSO from cord product

NA NA NA CTL Requisition Form HPP 163
Transfusion Service Compatibility Testing & Product Services Cryoprecipitate AHF (Cryo) Pooled

Cryoprecipitated Antihemophilic Factor (AHF) contains fibrinogen, Factor VIII, Factor XIII, von Willebrand factor and fibronectin.  Several units of Cryoprecipitated AHF have been pooled

Depends upon request; See TAT description Cryoprecipitate in process for customer order will not be credited if cancelled or unused NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services HLAI Matched Platelets

Apheresis donor platelets previously HLAI typed are provided to match the patient’s HLAI A,B allele type

Depends upon request; See TAT description Platelets that are in transit to customer will not be credited if unused NA HLAI Requisition Form BS 320H
CTL Autologous & Allogeneic Stem Cells Labeling Extra Bags after the 6th

Utilizing extra bags during processing for product storage, including labeling

NA NA NA CTL Requisition Form HPP 163
IRL Blood Donor Typing, Molecular Testing (DNA Genotyping) Molecular Platelet Genotyping (HPA) – Donor

Molecular determination of 11 allelic variants that determine common Human Platelet Antigens, using multiplex PCR and microarray analysis. Includes DNA extraction and purification.

5-7 Business Days 1 EDTA ( 7mL) tube NA Form BS 313
IRL Blood Donor Typing, Molecular Testing (DNA Genotyping) Molecular Red Cell Genotyping (HEA) – Donor

Molecular determination of 38 allelic variants that determine common and rare red cell antigens plus hemoglobin S status, using multiplex PCR and microarray analysis. Includes DNA extraction and purification.

5-7 Business Days 1 EDTA ( 7mL) tube NA Form BS 313
Transfusion Service Compatibility Testing & Product Services Plasma, Cryo Reduced

Plasma, cryoprecipitate reduced is prepared from FFP after thawing and centrifugation and removal of the cryoprecipitate.  The remaining product is plasma that is deficient in fibrinogen, Factor VIII, Factor XIII, von Willebrand factor, cryoglobulin and fibronectin

Depends upon request; See TAT description Plasma in process for customer order will not be credited if cancelled or unused NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Plasma, Frozen Within 24 Hours After Phlebotomy

Plasma frozen within 24 hours after phlebotomy is prepared from a whole blood collection, separated and placed at -18 C or below within 24 hours from whole blood collection.  Units contain 200-250 mL on average.  This plasma component is a source of nonlabile plasma proteins.  Levels of Factor VIII are significantly reduced and levels of Factor V and other labile plasma proteins are variable compared with FFP.  Plasma should be infused immediately after thawing or stored at 1 to 6 C for up to 24 hours

Depends upon request; See TAT description Plasma in process for customer order will not be credited if cancelled or unused NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Platelets, Apheresis Leukocyte Reduced

Apheresis platelets leukoreduced can by leukocyte reduced during the collection process or may be prepared by further processing using leukocyte reduction filters.  The therapeutic goal of platelet transfusion is to provide adequate numbers of normally functioing platelets for the prevention and cessation of bleeding

Depends upon request; See TAT description Platelets that are in transit to customer will not be credited if unused NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Red Blood Cells Leukocyte Reduced

Red blood cells contain hemoglobin and serve as the primary agent for transport of oxygen to tissues.  This component is prepared by centrifugation or sedimentation of whole blood to remove much of the plasma, and can also be prepared by apheresis methods.  Leukocyte reduction is achieved by filtration

Depends upon request; See TAT description NA NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Red Blood Cells, Deglycerolized

Frozen red blood cells are made available for infusion by thawing and removing glycerol by washing the cells

Depends upon request; See TAT description Deglycerolized red blood cells that are in transit to customer will not be credited if unused NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Serologic Problem Case – see (IRL) reference testing

Refer to IRL test descriptions

NA NA NA NA
CTL Storage with or without Cryopreservation Storage of Peripheral Blood Progenitor Cells and Bone Marrow

Stem Cell Storage per bag with no processing or cryopreservation up to 36 months

NA NA NA CTL Requisition Form HPP 163
IRL Red Cell Serology Turn Around Times

STAT: 8 hours;  ASAP: 24 hours;  Routine: 1-2 days

Depends upon request; See TAT description Insufficient sample or incomplete patient information may result in delays NA NA
Transfusion Service Compatibility Testing & Product Services Turn Around Times

STAT:  Units required within 3 hours of sample receipt   ASAP:  Units required within 6 hours of sample receipt   Routine:  Units required within 24 hours of sample receipt

NA Insufficient sample or incomplete patient information may result in delays NA NA
Transfusion Service Compatibility Testing & Product Services Whole Blood

Whole blood contains red blood cells, plasma, platelets and cyroprecipitate.  This product is rarely used for transfusion because the components are separated and individually ordered and transfused

Depends upon request; See TAT description NA NA Transfusion Services Order Form TS 003