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