|Fresh Frozen Plasma (10006424)
A current Type and Screen is required for each hospital admission prior to the transfusion of FFP, unless a physician waiver is signed (the waiver permits emergency release of blood components prior to the completion of testing but does not eliminate the required testing). Depending on the patient condition and clinical indications, additional hematology and coagulation testing may also be required. Some circumstances require consultation with a blood bank physician before FFP can be released for transfusion; some orders may be reviewed by the UTMB Transfusion Committee.
Transfusion of FFP should be completed within 4 hours of the time the product was dispensed from the Blood Bank; products will be dispensed in a Blood Bank cooler if 2 or more units of FFP are requested at a time unless the patient has multiple lines available for simultaneous transfusion.
|Causes for Rejection:
Acceptable transfusion criteria not met.
FFP can be ordered and dispensed from the UTMB Blood Bank lab 24 hours per day (4.404 Clinical Services Wing, CSW)
FFP; Plasma, Frozen; Plasma, Single Donor (Human), Fresh Frozen; Single Donor Frozen Plasma; Single Donor Plasma (Human), Fresh Frozen; Thawed Plasma; Apheresis Plasma
Refer to the UTMB Guidelines for Transfusion of Blood and Blood Components (also known as Transfusion Criteria); a link can be found on the homepage of the Laboratory Survival Guide.
An FFP dose of 10-15 mL/kg is usually adequate to correct a coagulopathy (1 unit of FFP = about 250mL).
Documentation of clinical and laboratory response to transfusion of FFP is recommended within 1 hour after the transfusion is complete.
|CPT 4 Code:
A Blood Bank physician is always available for telephone consultation regarding appropriate dosage or selection of blood components for a patient..
|When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-10 code or its verbal equivalent.