CDOS

PACKED RED BLOOD CELLS, IRRADIATED

Mnemonic: PRBCIRR

CPT Code: 86920

Test Link (Copy)

Charge Code

70111080

Specimen Type

WHOLE BLOOD

Specimen Container

PINK, LAVENDER, RED TOP (WHOLE) BLOOD

Specimen Handling

BLOODBANDING AND COMPATIBILITY TO PATIENT SPECIMEN, AND STORED REFRIGERATED

Unacceptable Conditions

LEFT AT ROOM TEMP >30 MINUTES PRIOR TO RETURN TO LABORATORY OR >4 HOURS AT ROOM TEMP PRIOR TO ADMINISTRATION

Temperature

REFRIGERATED

Methodology

PRODUCT

Additional Information

CELLULAR BLOOD COMPONENTS ARE IRRADIATED PRIOR TO TRANSFUSION TO PREVENT THE PROLIFERATION OF VIABLE T LYMPHOCYTES WHICH ARE THE IMMEDIATE CAUSE OF TRANSFUSION ASSOCIATED-GRAFT VERSUS HOST DISEASE (TA-GVHD). TA-GVHD, A RARE COMPLICATION (FEWER THAN ONE PER MILLION TRANSFUSIONS RESULT IN TA-GVHD), HAS A FATALITY RATE GREATER THAN 90%. PATIENTS AT PARTICULAR RISK OF TA-GVHD INCLUDE: FETAL AND NEONATAL RECIPIENTS OF INTRAUTERINE TRANSFUSIONS, SELECTED IMMUNOCOMPROMISED RECIPIENTS, RECIPIENTS OF CELLULAR COMPONENTS KNOWN TO BE FROM A BLOOD RELATIVE, RECIPIENTS WHO HAVE UNDERGONE MARROW OR PERIPHERAL BLOOD PROGENITOR CELL TRANSPLANTATION, RECIPIENTS OF CELLULAR COMPONENTS WHOSE DONOR IS SELECTED FOR HLA COMPATIBILITY

Stability

3 DAYS

Reference Range Information

GRITMAN DOES NOT ROUTINELY STOCK IRRADIATED PACKED RED BLOOD CELLS. MAKE PRIOR ARRANGEMENTS WITH THE LABORATORY FOR AVAILABLITY.

Turn Around Time

NEXT DAY, EXPECT EXTENDED TURN AROUND TIME DEPENDING OF PATIENT COMPATIBILITY REQUIREMENTS

Place of Service

GRITMAN MEDICAL CENTER

Result Code	Result Name	Units of Measure
BBINDENT	BLOOD BAND NUMBER
BBABORHCON	ABO/RH CONFIRMATION
BBDONORTYPE	DONOR TYPE
BBEXP	UNIT EXPIRATION
BBUNITNUM	UNIT NUMBER
BBXMATCHIN	CROSSMATCH
BBCMV	CMV
BBISUUEDAT	ISSUE DATE
BBUNITPHEN	UNIT PHENOTYPE
BBUNPHENO2	UNIT PHENOTYPE
BBUNPHENO3	UNIT PHENOTYPE

Reflex Order Code	Reflex Order Name	Reflex CPT4
INBCCMVN	CMV NEGATIVE UNIT	86644
AHGC	AHG COMPATIBILITY	86922
AHGC	INCUBATION	86921
UNITANT	UNIT PHENOTYPE	86902
INBCANTI	UNIT PHENOTYPE	86905
INBCRBC	RBC PRODUCT	P9040

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