BLOOD DONOR AUTOLOGOUS PROGRAM
General Information
HLAB/HOL Code: TRANS. RQN.
UPHSM LIS Test #:
Schedule: Monday-Friday by appointment
Testing Time: 1 day
Testing Lab: UP Health System-Marquette
UPHSM LIS Test #:
Schedule: Monday-Friday by appointment
Testing Time: 1 day
Testing Lab: UP Health System-Marquette
Specimen Info
Only 1 specimen type required, unless otherwise specified
Volume:
Temperature:
Tube Type: NA
Collection Info:
Test performed at: MGH Upper Peninsula Regional Blood Center:
Marquette, Sault Ste. Marie, Escanba, Hancock, Iron Mountain
NOTE:
1. Physician orders must be sent to the site where the autologous collection is expected.
2. Units should be drawn 35 and 7 days of the expected reinfusion.
Temperature:
Tube Type: NA
Collection Info:
Test performed at: MGH Upper Peninsula Regional Blood Center:
Marquette, Sault Ste. Marie, Escanba, Hancock, Iron Mountain
NOTE:
1. Physician orders must be sent to the site where the autologous collection is expected.
2. Units should be drawn 35 and 7 days of the expected reinfusion.
Clinical Utilities
Collection of blood components for prescheduled subsequent reinfusion.
CPT Codes
NA
* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.
Reference Range
NA