Test Code TPHLEB Therapeutic Phlebotomy
Methodology
Blood Collection Bag or 19-Gauge VACUTAINER® Butterfly Collection Device Using 20 mL VACUTAINER®
Performing Laboratory
Decatur Morgan Hospital-Decatur Campus/Parkway Campus
Specimen Requirements
Specimen must be drawn by person authorized to perform this procedure.
Contact Decatur Morgan Hospital-Decatur General Campus
Blood Bank at 256-973-2289 or Parkway Campus Blood Bank at
256-973-6379 for specimen requirements and collection
information.
Note: Complete and submit the following
forms “Therapeutic Phlebotomy Data Sheet,” and
“Patient Consent for Therapeutic Phlebotomy” in
“Transfusion Reaction” in “Request Forms”
in “Special Instructions.”
Test Classification and CPT Coding
99195