Autologous, Directed and Therapeutic Questions
Autologous and Directed Donations
Autologous blood transfusion is a procedure in which you are transfused with blood that you have donated only for yourself.
Directed blood transfusion is a procedure in which the patient is transfused with blood specifically donated for the patient by a friend or family member, with a doctor's orders.
To become an autologous or directed blood donor, a written order must be faxed to The Blood Center's Autologous and Directed Program at (713) 791-6607. Your physician can obtain a Request for Autologous/Directed Donation form by calling (713) 791-6608 Monday through Friday between 8 a.m. and 5 p.m., or download it here. It is the responsibility of the donor to make sure the written order is sent to The Blood Center by the physician.
Autologous and directed donations can be made at any Gulf Coast Regional Blood Center facility. You must call the location to schedule an appointment for your donation. Autologous blood donations are not accepted at mobile blood drives. An additional fee is charged for each pint drawn to cover extra processing and administrative costs. These fees are charged to the hospital and will be included in your hospital bill.
Autologous donors must have a hematocrit level of at least 38 percent. The deferral period for donors with low hematocrit is 30 days to give donors ample time to increase their hematocrit levels by regularly eating iron-rich foods and incorporating an iron supplement into their routines.
If you have a condition such as polycythemia or porphyria cutanea tarda and are required to have blood drawn as a form of treatment, you may come to any Gulf Coast Regional Blood Center facility for the procedure.
With the exception of approved hemochromatosis and testosterone replacement therapy donors, therapeutic patients will only be drawn on Tuesdays, Wednesdays and Thursdays, 10 a.m. through 5 p.m. The therapeutic request form must be completed by your doctor and faxed to (713) 790-1782 at least 72 hours prior to the first collection to allow time for review, Medical Director approval and data entry. Incomplete or illegible orders will not be accepted. Download the Therapeutic Phlebotomy Request.
A fee of $150 is required per therapeutic phlebotomy. This fee will not apply to those with a diagnosis of hereditary hemochromatosis or secondary polycythemia due to testosterone replacement therapy, since in some cases these units may be used for transfusion to patients. The fee also will not apply to patients with Medicare or Medicaid coverage.
Payment will be accepted onsite using a major credit card at the Neighborhood Donor Center after screening, prior to phlebotomy. A receipt and form that may be used for insurance reimbursement will be provided. The fee does not apply to patients with Medicare or Medicare coverage.
ATTENTION THERAPEUTIC PATIENTS:
Effective June 26, 2018, The Blood Center will require a new request form for all new and existing patients who need treatment more frequently than every eight weeks.
What is new?
- The new form will ask your provider to indicate how often you need your blood collected for treatment.
- Your treatment will be limited to one visit per week.
- If the new request form does not include instructions for how often you should be treated, your visits will be limited to once every eight weeks.
Frequently Asked Questions
Will I be charged for direct donations if the donors are not compatible?
No, if your donors are not compatible there is no charge. But if we are not provided with the patient's blood type, then we send every donation to the hospital. After the hospital cross-match is done and it is concluded that the donation is incompatible, then there is only the direct fee of $26.
Why does my blood expire sooner if I am a blood relative?
If you are a blood relative, your donation will have to be irradiated to avoid graft versus host disease. In this instance, the 42-day expiration is reduced to 28 days.
Why do I have to pay for my own blood?
The charges assessed with an autologous donation are for testing and processing, and service fees.
Why do I need doctor's orders before donating autologous or direct units?
We must have a doctor's request in order to make sure we have all the proper information for the patient and to make sure the doctor has authorized the patient to give an autologous donation.
If I'm having surgery out of town, can I donate here and have it shipped? And at what cost?
Yes, you may donate with a physician's request at any Neighborhood Donor Center. But all units must be prepaid before any donations are made. This fee varies depending on how many units your physician wants. It includes testing and processing fees, autologous and/or directed fees, and shipping and handling.
Why can't I know the names of or other information about my direct donors?
All information is kept strictly confidential in accordance with HIPAA regulations.
If I don't use my autologous donation, why can't it be released for someone else?
Autologous donations are not drawn under the same criteria as a regular whole blood unit. Some physicians will allow autologous donors to donate who otherwise would not qualify to donate for the general public. Therefore, these units cannot be released for someone else.