BLOOD DONOR DIRECTED 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

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 including, number of units requested,  and a listing of expected donors are required.
2. Units should be drawn between 35 and 7 days of the expected  transfusion.
3. Directed donors who donate within 72 hours (MGH) or 7 days  (send out) may not be available for transfusion when desired.

Clinical Utilities

Collection of blood components from a donor specified for a specific patient for prescheduled subsequent transfusion.

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