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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: Special arrangement 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: 10 mL blood Minimum Volume: 3 mL blood Container: Lavender-topped tube (EDTA) from recipient Reviewed/Revised 02/15/06 by D. Madrigal, MT(ASCP)SBB |
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