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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