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Test Code TRXN Transfusion Reaction

Additional Codes

St. Luke's Compendium Code (Iatric): B200.0001

Performing Laboratory

St. Lukes Hospital Laboratory

Methodology

Hemagglutination

Includes clerical check, ABO, Rh type, direct antiglobulin test (DAT), blood product Gram stain, total bilirubin, and pathology interpretation.
Useful for evaluating patients undergoing a reaction while receiving or after receiving blood products.

Note:  The transfusion requisition, blood product container, and attached intravenous solutions should be sent to St. Luke’s Hospital Blood Bank.

Specimen Requirements

Immediately call St. Luke’s Hospital Blood Bank at 218-249-5301 when a transfusion reaction is suspected.

 

Blood, plasma, and serum are required for this test. Nursing staff will be notified if a urine specimen is necessary.

 

Blood

Draw blood in a pink-top (K3 EDTA) tube(s), and send 7 mL of K3 EDTA whole blood.

Note:  Label specimen in ink with patient’s full name, date of birth, date and time of draw, initials of phlebotomist, and as post-reaction specimen. Preprinted label is acceptable.

 

Plasma

Draw blood in a green-top (lithium heparin) plasma gel tube(s). Spin down and send 3 mL of lithium heparin plasma refrigerated.
Note:  Label specimen in ink with patient’s full name, date of birth, date and time of draw, initials of phlebotomist, as post-reaction specimen, and plasma. Preprinted label is acceptable.

 

Serum

Draw blood in a plain, red-top tube(s), and send 10 mL of whole blood.

Note:  Label specimen in ink with patient’s full name, date of birth, date and time of draw, initials of phlebotomist, as post-reaction specimen, and serum. Preprinted label is acceptable.

Reference Values

An interpretive report will be provided.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

Call St. Luke’s Hospital Laboratory Client Service Department at 218-249-5200 for CPT code information.