Complete Test Listings

Laboratory Category Test Name Description Turn Around Times Sample, Packaging & Shipping Requirements CPT Code Form
IRL Red Cell Serology 4C Antibody Identification

Test for identification of antibodies reactive best at 4C

Depends upon request; See TAT description 1 plain red top and 4 EDTA tubes (No gel separator tubes); Shipped in a container maintaining temperature between 1C - 10 C 86870 Form BS 313
IRL Red Cell Serology ABO Discrepancy (includes A2 cells & anti-A,B)

Resolution of ABO blood group typing discrepancies

Depends upon request; See TAT description 1 plain red top and 4 EDTA tubes (No gel separator tubes); Shipped in a container maintaining temperature between 1C - 10 C 86900 Form BS 313
IRL Red Cell Serology ABO Grouping

ABO blood group typing

Depends upon request; See TAT description 1 plain red top and/or EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86900 Form BS 313
CTL Autologous & Allogeneic Stem Cells ABO Incompatibility Processing – Plasma Depletion

Removal of plasma

NA NA 38214 CTL Requisition Form HPP 163
CTL Autologous & Allogeneic Stem Cells ABO Incompatibility Processing – Red Cell Depletion

Removal of red cells from product received

NA NA 38212 CTL Requisition Form HPP 163
Transfusion Service Compatibility Testing & Product Services ABO/Rh

ABO blood typing; Rh (D)

Depends upon request; See TAT description 2 ETDA (7 mL) tubes and labeled according to Transfusion Service Guidelines 86900, 86901 Transfusion Services Order Form TS 003
IRL Red Cell Serology Adsorption

Autoadsorption using patient’s own cells or allogeneic adsorption using reagent red cells of known phenotype

Depends upon request; See TAT description 1 plain red top and 4 EDTA tubes (No gel separator tubes); Shipped in a container maintaining temperature between 1C - 10 C 86978 Form BS 313
IRL, Transfusion Service Compatibility Testing & Product Services, Red Cell Serology Antibody Detection (screen)

Red cell antibody screen by multiple methodologies

Depends upon request; See TAT description 1 plain red top and/or EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86850 Form BS 313, Transfusion Services Order Form TS 003
IRL, Transfusion Service Compatibility Testing & Product Services, Red Cell Serology Antibody Identification Panel

Red cell antibody identification by multiple methodologies

Depends upon request; See TAT description 1 plain red top and 4 EDTA tubes (No gel separator tubes); Shipped in a container maintaining temperature between 1C - 10 C 86870 Form BS 313, Transfusion Services Order Form TS 003
IRL Red Cell Serology Antibody Screen – Gel

Red cell antibody screen by gel technology

Depends upon request; See TAT description 1 plain red top and/or EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86850 Form BS 313
IRL Red Cell Serology Antigen Typing, Donation (per antigen)

Donor blood typing for common antigens (serological)

Depends upon request; See TAT description 1 plain red top and/or EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86902 Form BS 313
IRL Red Cell Serology Antigen Typing, Patient (per antigen)

Patient blood typing for common antigens (serological)

Depends upon request; See TAT description 1 plain red top and/or EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86905 Form BS 313
IRL Red Cell Serology Antigen Typing, Rare-Donation (per antigen)

Donor blood typing for rare antigens (serological)

Depends upon request; See TAT description 1 plain red top and/or EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86902 Form BS 313
IRL Red Cell Serology Antigen Typing, Rare-Patient (per antigen)

Patient blood typing for rare antigens (serological)

Depends upon request; See TAT description 1 plain red top and/or EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86905 Form BS 313
Transfusion Service Compatibility Testing & Product Services Autologous Unit

Whole blood and red blood cells are drawn from patients who anticipate requiring blood transfusions.  Each unit is labeled “For Autologous Use Only” as they are not screened and tested for the general blood supply

Depends upon request; See TAT description NA 86890 Transfusion Services Order Form TS 003
CTL Autologous & Allogeneic Stem Cells Base Lab Processing of Pheripheral Blood Progenitor Cells and Bone Marrow (Autologous & Allogeneic)

Processing, splitting and labeling additional bags from original collection. Includes testing for CD34, CD3, Total Nucleated Count, Manual Differential, Sterility, Viability, Infectious Disease Markers and cryopreservation of up to 6 bags for storage up to 36 months.

NA NA 38207, 85007, 85025, 86359, 86367, 87040x2, 88237 CTL Requisition Form HPP 163
CTL Autologous & Allogeneic Stem Cells Base Lab Processing of Pheripheral Blood Progenitor Cells and Bone Marrow After Hours

Base lab processing from 2300 to 0600, weekends and holidays

NA NA NA CTL Requisition Form HPP 163
HLA Blood & Marrow Transplant Buccal Swab DNA Isolation for High Resolution Testing

Isolation of highly purified DNA from a buccal swab sample for high resolution testing

NA Buccal swab 81479x2 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant Buccal Swab DNA Isolation for Low/Intermediate Resolution

Isolation of highly purified DNA from a buccal swab sample for low to intermediate resolution testing

NA Buccal swab 81479 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant CD3

Determination of absolute count & percentage of CD3 T lymphocytes in peripheral blood or apheresis product for subsequent donor leukocyte infusion by flow cytometry

3 hours from sample receipt, when lab notified in advance Samples must be received within 24 hours of collection. EDTA 3mL of anticoagulated whole blood; EDTA 0.5mL of pheresis unit, cord blood or bone marrow anticoagulated 86359, 88184, 88185, 88187 HLA Requisition Form BS 320H
CTL Blood & Marrow Transplant CD34 Enumeration with Viability

Determination of absolute count, percentage, and viability of CD34 progenitor cells in peripheral blood, pheresis product or bone marrow by flow cytometry

2 hours from sample receipt, when lab notified in advance Samples must be received within 24 hours of collection. EDTA 3mL of anticoagulated whole blood; EDTA 0.5mL of pheresis unit, cord blood or bone marrow anticoagulated 86367, 88184, 88185x2, 88187 CTL Requisition Form HPP 203
HLA Blood & Marrow Transplant Chimerism Studies

Testing of post transplant blood samples for percentage mixture of donor and patient DNA

3-5 Business Days Pre-transplant DNA from recipient and donor; Post-transplant sample from recipient; 5-7 mL EDTA 81267 HLA Requisition Form BS 320H
Transfusion Service Compatibility Testing & Product Services CMV Unit Test

Antibody screen for cytomegalovirus

NA NA 86644 Transfusion Services Order Form TS 003
IRL Red Cell Serology Cold Agglutinin Screen

Test for detection of antibodies reactive best at 4C

Depends upon request; See TAT description Serum/plasma collected and separated at 37 C and 1 EDTA. Please contact the IRL. 86156 Form BS 313
IRL Red Cell Serology Cold Agglutinin Titer

To provide instructions for determining the titer of cold reactive autoantibody for cases in which cold agglutinin disease is suspected.

Depends upon request; See TAT description Serum or plasma separated from freshly collected blood; sample maintained at 37C; minimum volume 2mL 86157 Form BS 313
CTL Processing Tests Colony Forming Units (CFU)

Culture of hematopoietic progenitor cells (HPCs) including erythroid, myeloid and megakaryocytic

14 to 16 days Cryovial, product bag, cell culture medium, eg RPMI, IMDM 88237 CTL Requisition Form HPP 203
CTL Processing Tests Complete Blood Count

Total nucleated cell count, hematocrit and a breakout of mononuclear cell and granulocyte percentages

24 to 48 hours Sample size is 0.5mL, red top tube, shipped at 1-10 C 85025 CTL Requisition Form HPP 203
IRL Red Cell Serology Computer Unit Search

Computer search of the Blood Systems inventory for specifically typed products

2 hours NA NA Contact IRL Laboratory
CTL Autologous & Allogeneic Stem Cells Cord Blood Dilution – No Wash (with pre & post CD34)

Dilution of DMSO from cord product with CD 34 testing

NA NA 86367 CTL Requisition Form HPP 163
CTL Autologous & Allogeneic Stem Cells Cord Blood Dilution – No Wash (without CD34)

Dilution of DMSO from cord product

NA NA NA CTL Requisition Form HPP 163
Transfusion Service Compatibility Testing & Product Services Crossmatch – Antiglobulin

Compatibility test each unit; immediate spin technique; incubation technique; antiglobulin technique

Depends upon request; See TAT description 2 ETDA (7 mL) tubes and labeled according to Transfusion Service Guidelines 86920, 86921, 86922 Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Crossmatch – Immediate Spin

Compatibility test each unit; immediate spin technique

Depends upon request; See TAT description 2 ETDA (7 mL) tubes and labeled according to Transfusion Service Guidelines 86920 Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Cryoprecipitate AHF (Cryo) Pooled

Cryoprecipitated Antihemophilic Factor (AHF) contains fibrinogen, Factor VIII, Factor XIII, von Willebrand factor and fibronectin.  Several units of Cryoprecipitated AHF have been pooled

Depends upon request; See TAT description Cryoprecipitate in process for customer order will not be credited if cancelled or unused NA Transfusion Services Order Form TS 003
IRL Red Cell Serology Direct Antiglobulin Test (DAT) (per test)

The direct antiglobulin test is used to demonstrate antibodies and/or complement bound to the red cells “in-vivo”.

Depends upon request; See TAT description 1 EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86880 Form BS 313
IRL Red Cell Serology Donath-Landsteiner Test

Diagnostic test for Paroxysmal Cold Hemoglobinuria (PCH)

Depends upon request; See TAT description Serum collected and separated at 37 C and 1 EDTA. Please contact the IRL. 86940, 86941 Form BS 313
IRL Red Cell Serology Drug Dependent Antibody Studies

Tests for identification of drug dependent antibodies

Depends upon request; See TAT description 2 large EDTA or red top tubes; sample of drug under investigation, in the same form (tablet, solution, capsules) that the patient is receiving 86850, 86970, 86975, 86976 Form BS 313
IRL Red Cell Serology Elution

Removal of antibody from red cells for further identification testing

Depends upon request; See TAT description 2 EDTA tubes; Shipped in a container maintaining temperature between 1C - 10 C 86860 Form BS 313
IRL Red Cell Serology Enzyme Treatment Panel

Premodification of red blood cells using proteolytic enzymes (i.e. Ficin, Papain, etc.)

Depends upon request; See TAT description NA 86870, 86971 Form BS 313
IRL Red Cell Serology Extended Phenotype

Patient typing for common blood group antigens, excluding Rh

Depends upon request; See TAT description 1 EDTA tube ; Shipped in a container maintaining temperature between 1C - 10 C 86905x9 Form BS 313
CTL Autologous & Allogeneic Stem Cells Fresh Allogeneic Processing without cryopreservation, Bone Marrow or Pheripheral Blood Progenitor Cells

Base lab processing services and testing for fresh products listed

NA NA 85007, 85025, 86359, 86367, 87040x2, 88237 CTL Requisition Form HPP 163
HLA Blood & Marrow Transplant HLA (A,B,C,DR,DQ) HR for Patient or unrelated Donor Typing to include DRB3/4/5

Sequenced Based Typing (SBT) and/or DNA based assay for HLA A, B C, DR and DQ alleles provides a high resolution HLA phenotype for new transplant patients and their potential unrelated donors

7±2 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Cord blood sample: 0.5 - 1ml; Buccal swabs are acceptable 81379, 81382x3 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA (A,B,C) Supplemental HR

DNA based assay provides high resolution (4 digits) typing of HLA A,B,C alleles following preliminary HLA (A,B,DR) IR typing of transplant patient siblings

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81379 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA (A,B,DR) IR

DNA based assay provides initial intermediate resolution (2 digits) typing of HLA A, B, DR for preliminary assessment of histocompatibility in siblings of transplant recipient

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Cord blood sample: 0.5 - 1ml; Buccal swabs are acceptable 81371 HLA Requisition Form BS 320H
HLA Blood Donor Typing, Platelet Refractory Panel HLA (A,B) IR for Apheresis Platelet Donors

DNA based assay provides intermediate resolution (2 digits) of HLA-A,B alleles. Typing apheresis donor is required prior to donating for HLA matched platelets.

21-30 business days 5-7 mL EDTA; shipped within 7 days of collection 81373x2 HLA Requisition Form BS 320H
HLA, IRL Platelet Refractory Panel, Platelet Testing HLA (A,B) IR for Patient Platelet Transfusions

DNA based assay provides intermediate resolution (2 digits) typing of HLA-A,B alleles. Typing required for patient before search for HLA matched platelets.

48 hours Adults: 10-20 mL EDTA; Adults WBC <4x10^6/mL or 4000/µL: 20-40 mL EDTA; Pediatrics: Consult with laboratory 81373x2 Form BS 313, HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA (DR,DQ) Supplemental HR to include DRB3/4/5

DNA based assay provides high resolution (4 digits) typing to determine phenotype for selected siblings of transplant recipient

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81382x3 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA A, Supplemental HR

DNA based assay provides high resolution (4 digits) typing of HLA A alleles with previous LR results

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable or frozen DNA 81380 HLA Requisition Form BS 320H
HLA, IRL HLA Class I & II Antibody Screen and ID, Platelet Refractory Panel HLA Antibody ID Class I

Identification of antibody specificities to HLA Class I (A,B,C) antigens by Luminex microbead array methodology

3 business days 10 mL clotted whole blood in red top tube; blood specimens may be kept at room temperature and shipped at room temp or 24C up to 4 days after collection; OR separated serum from clot tube may be refrigerated at 4C and shipped up to 7 days from date of draw 86832 Form BS 313, HLA Requisition Form BS 320H
HLA HLA Class I & II Antibody Screen and ID HLA Antibody ID Class II

Identification of antibody specificities to HLA Class II (DR,DQ,DP) antigens by Luminex microbead array methodology

3 business days 10 mL clotted whole blood in red top tube; blood specimens may be kept at room temperature and shipped at room temp or 24C up to 4 days after collection; OR separated serum from clot tube may be refrigerated at 4C and shipped up to 7 days from date of draw 86833 Form BS 313, HLA Requisition Form BS 320H
HLA, IRL HLA Class I & II Antibody Screen and ID, Platelet Refractory Panel HLA Antibody Screen

Screen for antibodies to HLA Class I (A,B,C) and Class II (DR,DQ,DP) and MIC antigens by Luminex microbead array methodology

3 business days 10 mL clotted whole blood in red top tube; blood specimens may be kept at room temperature and shipped at room temp or 24C up to 4 days after collection; OR separated serum from clot tube may be refrigerated at 4C and shipped up to 7 days from date of draw 86828 Form BS 313, HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA B, Supplemental HR

DNA based assay to provide high resolution (4 digits) typing of HLA B alleles with previous LR results

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable or frozen DNA 81380 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA C, Supplemental HR

DNA based assay to provide high resolution (4 digits) typing of HLA C alleles with previous LR results

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable or frozen DNA 81380 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA Class I (A,B,C) HR

DNA based assay used to achieve definition at high resolution (4 digits) of Class I HLA-A,B,C alleles

7±2 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81379 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA Class I (A,B,C) IR

DNA based assay provides low to intermediate resolution (2 digits) assignment of Class I HLA-A,B,C alleles

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81372 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA Class I Single Locus IR (e.g. B*27)

DNA based typing of any single locus provides intermediate resolution (2 digits) typing to determine presence or absence of 1 or 2 antigens/alleles named by client for disease association or research purposes

7-10 Business Days 5-10mL EDTA 81373 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA Class II (DR,DQ) HR to include DRB3/4/5

DNA based assay provides high resolution (4 digits) typing of HLA DRB1, DRB3/4/5 and DQB1 alleles following preliminary HLA (A,B,DR) IR typing of transplant patient siblings

7±2 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81382x3 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA Class II (DR,DQ) IR

DNA based assay provides low to intermediate resolution (2 digits) assignment of Class II HLA DR, DQ alleles.

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81375 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA Class II Single Locus IR (e.g. DQ2, DQ8)

DNA based typing of any single locus provides intermediate resolution (2 digits) typing to determine presence or absence of 1 or 2 antigens/alleles named by client for disease association or research purposes

7-10 Business Days 5-10mL EDTA 81376 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA DPA1 HR

DNA based assay to provide high resolution (4 digits) typing of HLA DPA1 alleles

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81382 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA DPB1 HR

DNA based assay to provide high resolution (4 digits) typing of HLA DPB1 alleles

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81382 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA DQA1 HR

DNA based assay to provide high resolution (4 digits) typing of HLA DQA1 alleles

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable 81382 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA DQB1 Supplemental HR

DNA based assay provides high resolution (4 digits) typing of HLA DQB1 alleles with previous LR results

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable or frozen DNA 81382 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA DRB1 Supplemental HR

DNA based assay provides high resolution (4 digits) typing of HLA DRB1 alleles with previous LR results

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable or frozen DNA 81382 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA DRB3/4/5 Supplemental HR

DNA based assay provides high resolution (4 digits) typing of HLA DRB3/4/5 alleles with previous LR results

5-7 Business Days Adults (normal WBC): 10-20 mL EDTA; Pediatrics: 3-7 mL EDTA or anticoagulated whole blood, depending on age of child; Buccal swabs are acceptable or frozen DNA 81382 HLA Requisition Form BS 320H
HLA, IRL Platelet Refractory Panel HLA Matched Platelet Pheresis Donor Search

Search of maintained registry of previously HLA typed donors to identify suitably HLA matched or compatible platelet pheresis donors for patients who are refractory to random donor platelets due to HLA antibodies. For patients that have previously completed HLA A,B typing or concurrent orders for HLA typing.

Same Day NA 99090 HLA Requisition Form BS 320H
Transfusion Service Compatibility Testing & Product Services HLA Matched Platelets

Apheresis donor platelets previously HLA typed are provided to match the patient’s HLA A,B allele type

Depends upon request; See TAT description Platelets that are in transit to customer will not be credited if unused NA HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA Priority Services

Reduced reporting time arranged by lab supervisor

NA NA 99051 HLA Requisition Form BS 320H
HLA Blood & Marrow Transplant HLA STAT After Hours

Reduced reporting time arranged by lab supervisor

NA NA 99050 HLA Requisition Form BS 320H
Transfusion Service Compatibility Testing & Product Services Irradiation for Component

Irradiated blood is prepared by exposing the component to a radiation source to prevent proliferation of T lymphocytes

Depends upon request; See TAT description Irradiation in process for customer order will not be credited if cancelled or unused 86945 Transfusion Services Order Form TS 003
CTL Autologous & Allogeneic Stem Cells Labeling Extra Bags after the 6th

Utilizing extra bags during processing for product storage, including labeling

NA NA NA CTL Requisition Form HPP 163
IRL Red Cell Serology Lectin Study

Diagnostic test for polyagglutination

Depends upon request; See TAT description 1 EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86999 Form BS 313
CTL Processing Tests Manual Differential – on product received at BSL

Manual white blood cell count differential

24 hours Cryovial, product bag, EDTA tube 85007 CTL Requisition Form HPP 203
IRL Blood Donor Typing, Molecular Testing (DNA Genotyping) Molecular Platelet Genotyping (HPA) – Donor

Molecular determination of 11 allelic variants that determine common Human Platelet Antigens, using multiplex PCR and microarray analysis. Includes DNA extraction and purification.

5-7 Business Days 1 EDTA ( 7mL) tube NA Form BS 313
IRL Molecular Testing (DNA Genotyping), Platelet Testing Molecular Platelet Genotyping (HPA) – Patient

Molecular determination of 11 allelic variants that determine common Human Platelet Antigens, using multiplex PCR and microarray analysis. Includes DNA extraction and purification.

5-7 Business Days 2 EDTA (7 mL) tubes 81479 Form BS 313
IRL Blood Donor Typing, Molecular Testing (DNA Genotyping) Molecular Red Cell Genotyping (HEA) – Donor

Molecular determination of 38 allelic variants that determine common and rare red cell antigens plus hemoglobin S status, using multiplex PCR and microarray analysis. Includes DNA extraction and purification.

5-7 Business Days 1 EDTA ( 7mL) tube NA Form BS 313
IRL Molecular Testing (DNA Genotyping) Molecular Red Cell Genotyping (HEA) – Patient

Molecular determination of 38 allelic variants that determine common and rare red cell antigens plus hemoglobin S status, using multiplex PCR and microarray analysis. Includes DNA extraction and purification.

5-7 Business Days 2 EDTA (7 mL) tubes 81403 Form BS 313
Transfusion Service Compatibility Testing & Product Services Physicians Services

Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report

NA NA 86077 NA
Transfusion Service Compatibility Testing & Product Services Plasma, Cryo Reduced

Plasma, cryoprecipitate reduced is prepared from FFP after thawing and centrifugation and removal of the cryoprecipitate.  The remaining product is plasma that is deficient in fibrinogen, Factor VIII, Factor XIII, von Willebrand factor, cryoglobulin and fibronectin

Depends upon request; See TAT description Plasma in process for customer order will not be credited if cancelled or unused NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Plasma, Frozen Within 24 Hours After Phlebotomy

Plasma frozen within 24 hours after phlebotomy is prepared from a whole blood collection, separated and placed at -18 C or below within 24 hours from whole blood collection.  Units contain 200-250 mL on average.  This plasma component is a source of nonlabile plasma proteins.  Levels of Factor VIII are significantly reduced and levels of Factor V and other labile plasma proteins are variable compared with FFP.  Plasma should be infused immediately after thawing or stored at 1 to 6 C for up to 24 hours

Depends upon request; See TAT description Plasma in process for customer order will not be credited if cancelled or unused NA Transfusion Services Order Form TS 003
HLA, IRL Platelet Refractory Panel, Platelet Testing Platelet Antibody Detection

The Capture-P Ready Screen Solid Phase System is designed to detect IgG- HPA and -HLA antibodies. The assay does NOT differentiate between HLA or HPA antibodies. The assay is not designed to detect complement components or antibodies of the IgM or IgA class.

Depends upon request; See TAT description 3-7 mL EDTA (plasma) or serum tube (no gel separators). Sample must be received in the IRL no later than 30 hrs after collection. Shipped in a container maintaining temperature between 1C - 10C 86022 Form BS 313
IRL Platelet Refractory Panel, Platelet Testing Platelet Crossmatch – SP

The Capture-P Solid Phase System is designed to detect IgG HPA and HLA antibodies.  The assay is not designed to detect complement components or antibodies of the IgM or IgA class.

Depends upon request; See TAT description 3-7 mL EDTA (plasma) or serum (not from gel separator tubes). ; Must be received within 30 hours of collection. ; Shipper to maintain temperature between 1C - 10C 86022 Form BS 313
HLA, IRL Platelet Refractory Panel Platelet Refractory Panel

Platelet antibody screen and crossmatch, HLA A,B typing, HLA matched platelet donor search, HLA antibody screen (if positive, HLA antibody identification Class I)

48 hours Three EDTA whole blood, and 5-7 mL clot (serum) tube (no gel separators). Sample must be received in the IRL no later than 30 hrs after collection. Icteric, hemolyzed and/or lipemic samples interfere with test and should not be tested as per package insert. Shipped in a container maintaining temperature between 1C - 10C 99090 Form BS 313, HLA Requisition Form BS 320H
Transfusion Service Compatibility Testing & Product Services Platelets, Apheresis Leukocyte Reduced

Apheresis platelets leukoreduced can by leukocyte reduced during the collection process or may be prepared by further processing using leukocyte reduction filters.  The therapeutic goal of platelet transfusion is to provide adequate numbers of normally functioing platelets for the prevention and cessation of bleeding

Depends upon request; See TAT description Platelets that are in transit to customer will not be credited if unused NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Red Blood Cells Leukocyte Reduced

Red blood cells contain hemoglobin and serve as the primary agent for transport of oxygen to tissues.  This component is prepared by centrifugation or sedimentation of whole blood to remove much of the plasma, and can also be prepared by apheresis methods.  Leukocyte reduction is achieved by filtration

Depends upon request; See TAT description NA NA Transfusion Services Order Form TS 003
Transfusion Service Compatibility Testing & Product Services Red Blood Cells, Deglycerolized

Frozen red blood cells are made available for infusion by thawing and removing glycerol by washing the cells

Depends upon request; See TAT description Deglycerolized red blood cells that are in transit to customer will not be credited if unused NA Transfusion Services Order Form TS 003
IRL Red Cell Serology Red Cell Separation

Separation of patient red cells from transfused red cells

Depends upon request; See TAT description 2 EDTA tubes; Shipped in a container maintaining temperature between 1C - 10 C 86999 Form BS 313
IRL Red Cell Serology Red Cell Treatment – EGA/CHL/DTT

Chemical premodification of red cells for testing

Depends upon request; See TAT description 2 EDTA tubes; Shipped in a container maintaining temperature between 1C - 10 C 86970 Form BS 313
IRL Red Cell Serology Rh (D) Typing

Rh (D) typing of red cells

Depends upon request; See TAT description 1 EDTA tubes; Shipped in a container maintaining temperature between 1C - 10 C 86901 Form BS 313
IRL Red Cell Serology Rh Discrepancy

Resolution of typing discrepancy

Depends upon request; See TAT description 2 EDTA tubes; Shipped in a container maintaining temperature between 1C - 10 C 86901x3 Form BS 313
IRL Red Cell Serology Rh Phenotype

Common Rh antigen phenotyping, excluding Rh (D)

Depends upon request; See TAT description 1 EDTA tube; Shipped in a container maintaining temperature between 1C - 10 C 86906 Form BS 313
CTL Autologous & Allogeneic Stem Cells Sepax Cord Blood Product Wash (per bag)

Automated cord blood washing in a functionally closed system

NA NA 38209 CTL Requisition Form HPP 163
Transfusion Service Compatibility Testing & Product Services Serologic Problem Case – see (IRL) reference testing

Refer to IRL test descriptions

NA NA NA NA
IRL Red Cell Serology Special Serum Studies (0.01 M DTT, others)

Selective inactivation of IgM class immunoglobulin

Depends upon request; See TAT description 1 plain red top and 4 EDTA tubes (No gel separator tubes); Shipped in a container maintaining temperature between 1C - 10 C 86975 Form BS 313
IRL Red Cell Serology Special Serum Studies (Neutralization/Inhibition, i.e. Le & P1 substance)

Antibody inhibition using blood group substances

Depends upon request; See TAT description 1 plain red top and 4 EDTA tubes (No gel separator tubes); Shipped in a container maintaining temperature between 1C - 10 C 86977 Form BS 313
CTL Processing Tests Sterility

Bacterial and fungal cultures on product

14 to 16 days Cryovial, product bag, tissue transport medium 87040x2 CTL Requisition Form HPP 203
CTL Storage with or without Cryopreservation Storage of Peripheral Blood Progenitor Cells and Bone Marrow

Stem Cell Storage per bag with no processing or cryopreservation up to 36 months

NA NA NA CTL Requisition Form HPP 163
CTL Storage with or without Cryopreservation Storage of Peripheral Blood Progenitor Cells and Bone Marrow with cryopreservation

Cryopreservation for each bag over 6 with storage up to 36 months

NA NA 38207 CTL Requisition Form HPP 163
CTL Autologous & Allogeneic Stem Cells T-Cell Therapeutic Processing

Base lab processing services and testing and up to 36 months of cryopreservation for up to 6 bags

NA NA 38207, 85007, 85025, 86359, 86367, 87040x2, 88237 CTL Requisition Form HPP 163
IRL Red Cell Serology Thermal Amplitude

Determination of optimal temperature of reactivity of cold antibodies

24 hours Serum collected and separated at 37 C and 1 EDTA. Please contact the IRL. 86940, 86941 Form BS 313
IRL Red Cell Serology Titration Studies (per titration)

Serial dilution of the sample and testing

NA 1 plain red top and 1 EDTA tubes (No gel separator tubes); Shipped in a container maintaining temperature between 1C - 10 C 86886 Form BS 313
Transfusion Service Compatibility Testing & Product Services Transfusion Reaction Investigation

Investigation of transfusion reaction, physician interpretation and written report

NA NA 86078 Transfusion Reaction Report Form TS 009
CTL Processing Tests Trypan Blue Viability

Simple dye exclusion test to measure the percentage of viable white cells

2 hours; M-F 8am-8pm 0.5mL of anticoagulant HPC product, shipped at 1 -10 C 85032 CTL Requisition Form HPP 203
IRL Red Cell Serology Turn Around Times

STAT: 8 hours;  ASAP: 24 hours;  Routine: 1-2 days

Depends upon request; See TAT description Insufficient sample or incomplete patient information may result in delays NA NA
Transfusion Service Compatibility Testing & Product Services Turn Around Times

STAT:  Units required within 3 hours of sample receipt   ASAP:  Units required within 6 hours of sample receipt   Routine:  Units required within 24 hours of sample receipt

NA Insufficient sample or incomplete patient information may result in delays NA NA
CTL Autologous & Allogeneic Stem Cells Volume Reduction

Reduce plasma as required for cryopreservation purposes

NA NA 38214 CTL Requisition Form HPP 163
CTL Autologous & Allogeneic Stem Cells Wash – Manual (with pre & post CD34)

Thawing of previously frozen harvest with washing and CD34 testing

NA NA 38209, 86367 CTL Requisition Form HPP 163
CTL Autologous & Allogeneic Stem Cells Wash – Manual (without CD34)

Thawing of previously frozen harvest with washing

NA NA 38209 CTL Requisition Form HPP 163
Transfusion Service Compatibility Testing & Product Services Whole Blood

Whole blood contains red blood cells, plasma, platelets and cyroprecipitate.  This product is rarely used for transfusion because the components are separated and individually ordered and transfused

Depends upon request; See TAT description NA NA Transfusion Services Order Form TS 003

Blood Systems and its divisions and affiliates provide comprehensive transfusion medicine services. These include: BioCARE • Blood Services (Blood Centers of the Pacific, BloodSource, Bonfils Blood Center, Community Blood Services, Inland Northwest Blood Center, Lifeblood, LifeShare, LifeStream, United Blood Services) • Blood Systems Laboratories • Blood Systems Research Institute • Creative Testing Solutions

BSI-K-L1

Blood Systems
National Office
6210 E. Oak Street
Scottsdale, AZ 85257
(800) 288-2199