[TEG 6S]

Thank you.  I have reached out to the vendor.  They haven't responded yet. 

[TEG 6S]

Good morning everyone, 

    I am validating a TeG 6S and need to submit my test request to the LIS department.  How did you set up the CPT Codes?

 

Platelet Mapping- 85576 times ?  (platelet aggregation each agent)

                          85396- interpretation for platelet mapping

TEG citrated assay-    85347- Coagulation Time, activated

                               85384- Fibrinogen Time, activated

                               85390-coagulopathy screen  & interpretation   

 

 

 

 

 

[Complement control cells]

_{We use Immucor test tube method.}

[Charging for antigen typings]

I am really interested in the billing compliance guidelines for this antigen typing debate.

[Charging for antigen typings]

We have an on going debate about antigen charges in our blood bank.  We are currently only charging for an antigen typying ONE time. 

 

For example:  Patient A has and Anti-K.  We screen 2 units and the patient A is billed for 2 antigen typings.  Patient A does not use the units and they are released.  Patient B has an Anti-K and needs K negative units.  The same K negative units are crossmatched on patient B.  We currently are not charging patient B for the antigen typings.

 

We are not interested in overcharging a patient, but they do have a special requirement (e.g.  sickle negative and cmv negative).

 

Please advise,

 

Sharon Stradley

[Blood Bank Ebola policy]

     We are a level 1 trauma center and planned on transfusing AB plasma to Ebola patients. 

 

   "Convalescent Plasma"  is donated from a patient who has recovered (28 days after discharge) from EVB and had 2 negative PCR tests.  An "AB" convalescent donor is ideal, but will probably not be a reality.  Our pathologists and infection control staff are asking us to typing the patient if we need to transfuse convalescent plasma.  We are thinking about an ABO(only) slide test under a hood or not testing the patient and trying to get a "A" convalescent plasma donor.  We are just looking for suggestion from other hospitals.  All input welcome.

 

Thanks

[Blood Bank Ebola policy]

Our hopsital is in the process if completing a SOP for Ebola patients. 

 

As of today:

• Blood/Blood Products will be issued using a modied Emergency Issue Procedure(no sample will be accepted in the Blood Bank). Group O rbcs and AB plasma
• The units of blood/blood products will only have an affixed label containing the required patient information
• The Emergency Blood Pack or Massive Transfusion Protocol can be activated by physicians
• Blood components will be delivered in a disposable, non-returnable container with ice
• The container and all of its contents are to be discarded and not returned to the blood bank
• The blood bank will call the nursing unit in order to obtain the status of each product(transfused/discarded)

The newest information from the AABB convention:

 

www.aabb.org/annual-meeting/attend/2014/Pages/Ebola-and-Transfsuion-Medicine.aspx

 

We are trying to find the safest way to type Ebola patients if we need to transfuse  with "convalescent plasma".  Any suggestions? 

 

Thanks,

[TEG or ROTEM]

We are looking at the TEG and ROTEM too. We are a Level 1 trauma center.  Please advise.