Test Code 2500109 PHLEBOTOMY, THERAPEUTIC
Specimen Requirements
Approximately 450 ml Whole Blood
Specimen Stability Information
N/A
Day(s) Test Set Up
Monday through Friday 8am-4pm
Special Instructions
No weekend collections.
Consent required.
Complete Therapeutic Phlebotomy Checklist.
If the patient’s hematocrit is below 48% for females/52% for males or if the hemoglobin for a females is less than 16.5g/dl or 18.5 g/dl for males the physician must be notified before proceeding with the phlebotomy. A physician may indicate on the patient’s order if they approve other criteria for performing the phlebotomy. Example: a lower hemoglobin or hematocrit level may be specified.
CPT
99195