GRANULOCYTES, Transfusion for Pediatrics (007-0111) "GRANULOCYTES, Transfusion for Pediatrics (007-0111)"
Synonyms: Leukocyte Concentrate; Leukocytes, Transfusion; White Cells, Transfusion; Buffy Coat.
CPT 4 Code: 86950
Order Mnemonic: BILL GRAN
Includes: Preparations of granulocytes generally contain about 0.5-2.0 x 1010 granulocytes and 25-50 mL red blood cells per donation suspended in 200-500 mL of plasma. Expiration date is 24 hours. ABO and Rh type, antibody screen, crossmatch, and antibody identification, if indicated.
Lab: Blood Bank
Request Form: Pathology/Blood Bank Blood Component Request
Storage Instructions: Room temperature
Causes for Rejection: Acceptable transfusion criteria not met
Availability: By special arrangement only
Turnaround Time: Donation: 6 hours; crossmatch: 2 hours
Special Instructions: Requires Blood Bank physician approval. . All requests must include requesting physician’s name and ID number, patient's name, UH #, patient location, clinical information/diagnosis. Request form must be filled out completely and all information must be legible.
Specimen: Blood from recipient and donor
Volume: 5 mL blood
Minimum Volume: 3 mL blood
Container: Lavender-topped tube (EDTA) from recipient
Reviewed/Revised 6/27/2010 by T. Moore, MT(ASCP)SBB