Laboratory Test Directory

LEUKOPHERESIS, THERAPEUTIC (007-0134)  "LEUKOPHERESIS, THERAPEUTIC"  

Synonyms: Granulocytapheresis; Leukapheresis, Therapeutic; Therapeutic Cytapheresis; Therapeutic Leukapheresis

CPT 4 Code: 36520

Order Mnemonic: BILL TLP

Order Includes: Removal of granulocytes from a patient

Lab: Blood Bank Donor Room

Request Form: Attending physician's MD Consult and Blood Bank Primary Request Form

Patient Preparation: Informed consent must be signed by patient.

Collection: Drawn by Blood Bank Donor staff

Causes for Rejection: Determined by Blood Bank physician

Availability: Patients are accepted 24 hours per day with Blood Bank Medical Director approval; notify the Blood Bank lab at x21524 to page the Medical Director for consultation

Turnaround time: Four hours

Special Instructions: Determined by Blood Bank physician.  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.

Reviewed/Revised 6/27/2010 by T. Moore, MT(ASCP)SBB