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HelpCatalog ID Plateletpheresis Therapeutic Platelets Apheresis Procedure
CPOE Test Name
Plateletpheresis Procedure Order (Use Blood Bank Apheresis Administration Adult Subphase)
Synonyms
Platelet Reduction; Therapeutic Thrombocytopheresis
Specimen Requirements
No sample required. Consultation, Service Request and venous access is required.
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).
Turn Around Time
Depends on patient tolerance.
CPT / HCPCS Code
36513
Storage and Transport
Send Consultation and Service Request to Apheresis
Reference Ranges
Not applicable
Interpretation
Consultation and Service Request must be sent to Transfusion Services Pathologist
Methodology
Therapeutic platelet apheresis is a procedure in which whole blood is removed from the patient using automated continuous apheresis machine. Patient platelet rich buffy coat is separated from patient’s whole blood by laminar flow and is discarded. The patient’s remaining processed whole blood is reinfused on a continuous basis.
Test Consists
Ordering physician must give Apheresis Service staff the following information when ordering procedure: patient height, weight, hematocrit, pre procedure platelet count, target platelet count after reduction, 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).
Performing Lab
Procedure Scheduling: Apheresis Service, BI 1220, 721-3769