The reimbursement codes for therapeutic phlebotomy are CPT 39107, icd9 code 289.0. Phlebotomy fees are WAIVED for ALL patients with confirmed Hereditary Hemochromatosis or for Testosterone Replacement Therapy. Useful For. As a Polycythemia Vera patient, you can not give blood to the Red Cross. three most common reasons for therapeutic phlebotomy are: • Polycythemia (rubra) vera –to decrease red cell mass • Porphyria – to reduce clinical symptoms in patients with metabolic disorders of heme synthesis which may be associated with hepatosplenomegaly, photosensitivity, hyperpigmentation and distinct red colour in the urine Diagnosis (PLEASE CHECK ONE) Primary polycythemia (Polycythemia vera, other rare genetic polycythemias) Abstract: Polycythemia vera (PV) is the most common Philadelphia chromosome–negative myeloproliferative neoplasm. Therapeutic phlebotomy is a blood draw procedure usually prescribed by a physician as part of a treatment of various medical conditions associated with accumulation of excess iron in the body. Therapeutic Phlebotomy Service Availability ... Polycythemia. Therapeutic Phlebotomy Order . The blood center DOES NOT perform ferritin testing. Phlebotomy fees are charged for ALL OTHER DIAGNOSES. High blood pressure, strokes and heart attacks can occur in left untreated. Phlebotomy Secondary Polycythemia due to D75.1 Testosterone Replacement Therapy D75.1Secondary Polycythemia, other D45Polycythemia Vera Hereditary Hemochromatosis E83.110 E83.118Other Hemochromatosis Other (Include both ICD-10 Code and Diagnosis): Minimum Hematocrit for Phlebotomy polycythemia vera, and secondary polycythemia. You can go to blood centers where they will accept blood from a PV patient for what is referred to as “therapeutic phlebotomy”. Polycythemia vera can lead to fatal complications in some cases. Where to go for Therapeutic Phlebotomy. With polycythemia the blood becomes very viscous or "sticky," making it harder for the heart to pump. Polycythemia is an excessive production of red blood cells. Patient Information . Whereas low-risk patients are treated with aspirin and phlebotomy, high-risk patients receive cytoreductive therapy, which most commonly consists of hydroxyurea in the United States. ... Polycythemia vera – Increased bone marrow that can lead to higher blood viscosity. Thicker blood usually means you have too much blood in circulation. Reviewing these diagnoses will help nurses understand why phlebotomy is an important part of treatment. Treatment includes phlebotomy with the possible addition of myelosuppressive agents based on a risk-stratified approach. But, there is a specific purpose behind it. Diagnosis Hemochromatosis, specify type: Hereditary Non-Hereditary Polycythemia due to Testosterone Therapy Polycythemia, Primary Polycythemia, Secondary Porphyria Cutanea Tarda Before initiating the procedure, nurses must be aware of a patient s diagnosis, baseline hemoglobin, hematocrit, ferritin, and therapeutic end points. ... An effective response is defined by control of the platelet count, a white cell count that normalizes, minimal use of phlebotomy, and, if present, resolution of splenomegaly after treatment with a maximum tolerated dose given up to 3 months. Name Sex Date of Birth Address Home Phone Alternate Phone . Therapeutic recommendations for polycythemia vera. ‘Polycythemia’ is one of the more common conditions effectively treated using therapeutic phlebotomy. ... Wasserman LR. But, getting regular draws can help. The treatment of hemochromatosis, polycythemia, and porphyrias. You will need to check with the respective blood center in your area. 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