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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

Special Instructions