Laboratory Test Directory

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