Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

TRANSFUSION REACTION

ORDERING INFORMATION:
Sunquest Test Code:
TRNRXN      Geisinger Epic Procedure Code: 86078.01         Geisinger Epic ID: 26822

SPECIMEN COLLECTION
Specimen type:
Whole blood
Preferred collection container:
Specimen required:
6 mL whole blood
Special notes:
Specimen must be labeled with patient's first and last name, medical record number or some unique other identifier (e.g.,billing number, NOT date of birth). Date of collection and phlebotomist identification (full name or tech ID) must be available. Positive patient identification must be assured.

SPECIMEN PROCESSING
Specimen processing instructions:
Do not centrifuge or aliquot. 
Transport temperature:
Preferred specimen: Room temperature (less than 24 hours). If greater than 24 hours, specimen should be stored at 2-8°C.
Specimen stability:
Specimen must be less than 48 hours old for testing.
Rejection criteria:
Tube containing gel separator. Incomplete label ID (see specimen collection note).

TEST DETAILS
Critical values/courtesy alerts:
Hemolysis.
Additional information:
Immediately return bag with any remaining blood product, along with any tubing or solution running in conjunction with the blood and completed transfusion reaction flowsheet to the Blood Bank.
CPT code(s):
86078
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
May include ABO/Rh, Antibody Screen, Direct Coombs.
Methodology:
RBC agglutination and/or gel column technology
Synonyms:
Transfusion Reaction Workup
Clinical significance:
Transfusion reaction workup is ordered to investigate when transfused components are suspected to be associated with adverse reactions in the patient.
Doctoral Director(s:)
Gustaaf de Ridder MD, PhD    
Review Date: 02/05/2019

Performing Locations

Geisinger Medical Center

Performing laboratory: Blood Bank
Technical Lead: Amy Allvord
Frequency: Daily, all shifts
Performed stat? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: Blood Bank
Technical Lead: Noreen Dructor    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Community Medical Center

Performing laboratory: Blood Bank
Technical Lead: Deborah Marasco  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Lewistown Hospital

Performing laboratory: Blood Bank
Technical Lead: Samantha Everhart  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Holy Spirit Hospital

Performing laboratory: Blood Bank
Technical specialist: Nancy Abraham    
Frequency: Daily, all shifts    
Performed stat? Yes
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*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
GCMC - Geisinger Community Medical Center (Scranton); GLH - Geisinger Lewistown Hospital; GHS - Geisinger Holy Spirit; GJSH - Geisinger Jersey Shore Hospital,
GSWB - Geisinger South Wilkes-Barre