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HelpCatalog ID Plasma Exchange Therapeutic Plasma Exchange Procedure
CPOE Test Name
Therapeutic Plasma Exchange Procedure Order (Use Blood Bank Apheresis Administration Adult Subphase)
Synonyms
Plasmapheresis, Plasma exchange
Specimen Requirements
No sample required unless there is not a current type on
file.
Samples require name, MRN, date and
phlebotomist initials/Cerner ID.
Consultation, Service Request, and venous access is required.
Storage and Transport
Send Consultation and Service Request to Apheresis
Causes for Rejection
Consultation or Service Request not received or approved by Pathologist.
Patient: inadequate venous access (would require insertion of catheter by clinical service).
Interpretation
Consultation and Service Request must be sent to Transfusion Services Pathologist
Test Consists
Ordering physician must give Apheresis Service staff the following information when ordering procedure: patient height, weight, hematocrit, type of replacement fluid and predicted number of procedures. Consult form should be completed at time of ordering and sent to Apheresis Service, Room BI 1220, for completion by Medical Director, or Clinical Pathologist on call. Status of Apheresis treatment request will be determined by attending pathologist (Routine; Urgent: treatment with 24 hours; Emergency: treatment as soon as feasible).
Turn Around Time
Depends on patient tolerance.
Methodology
Therapeutic Plasma Exchange is a procedure in which whole blood is removed from the patient using automated continuous apheresis machine. Patient plasma is separated from patient’s whole blood by laminar flow and is discarded. The patient’s remaining processed blood is reinfused on a continuous basis. Plasma is replaced with 5% albumin or Fresh Frozen Plasma.
CPT / HCPCS Code
36514
Reference Ranges
Not applicable
Performing Lab
Procedure Scheduling: Apheresis Service, BI 1220, 721-3769