Statement of Work - Blood and Blood Products for North Texas VA
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A Word document (44 KB) attached to Sole Source Notice - Blood and Blood Products, from the Department of Veterans Affairs. Due Nov 13, 2026, 1:00 PM (UTC-5).
File name: P01 - Statement of Work - Blood and Blood Products for North Texas VA.docx
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STATEMENT OF WORK
Blood and Blood Products
P&LMS, VA North Texas Health Care System (VANTHCS)
The purpose of this contract is to provide safe, quality blood products to, and therapeutic phlebotomies for, Veteran patients. Pricing includes all labor, materials, equipment and supplies necessary to provide the products or perform the services.
GROUP I - WEEKLY ESTIMATED DELIVERY REQUIREMENTS:
Quantities listed are estimated weekly totals:
Item
ABO/RH Type
Product Type
HCPCS Code
Est. Weekly Qty (Unit)
1. Red Blood Cells, Leuko-Reduced (LRBC)
O pos
LRBC
P9016
O neg
LRBC
P9016
A pos
LRBC
P9016
A neg
LRBC
P9016
B pos
LRBC
P9016
B neg
LRBC
P9016
AB pos
LRBC
P9016
2. Platelets-Apheresis, Leuko-Reduced (LPPLT)
O Pos or O Neg
LPPLT
P9035
A Pos or A Neg
LPPLT
P9035
Estimated quantities shown below are for annual requirements.
GROUP II – ESTIMATED YEARLY REQUIREMENTS:
Item
Product Type
HCPCS Code
Est. Yearly Qty (Unit)
Fresh frozen plasma, or Plasma frozen <24 hours (FFP or PF24) P9017 or P9059
Cryoprecipitate, frozen pooled from 5 donors (PCRYO)
P9012x5
Platelet-pheresis, HLA matched
P9035
Deglycerolyzed Red cells
P9054
GROUP III – SERVICES (ESTIMATED) TO BE PROVIDED ANNUALLY:
Item
Test Name
CPT Codes
Est. Yearly Test Volume
Freezing of Patient RBC
NA
Deglycerolization of frozen RBC
NA
Irradiation Fee
86945
1000
Class 1 HLA Type
NA
HLA Typing; A, B, C, single antigen
86812
HLA-A,B, Molecular; Request Coding
NA
HLA Computer match fee
86828
ABID; PLT Immunoglobulin Assay XM
86023
ABID: PLT Immunoglobulin Assay PLA1
86023
Platelet Antibody Screen
86022
Washing (red blood cells)
NA
Antigen Screen, Tier 1 antigen (C, c, E, or K)
86902
Antigen Screen, Tier 2 antigen (Jka, Jkb, Fya, Kpa, e, or P1) 86902
Antigen Screen, Tier 3 antigen (Fyb, Kpb, S, s, Cw, k, Wra, or High prevalence) 86902
ABO/Rh type
86900 & 86901
Blood Typing-ABO/Rh Discrepancy
86900 & 86901
Antibody Screen, RBC, each Serum Technique
86850
Cold Agglutinin, Screen
86156
AHG Test; Direct, each antiserum
86880
ABID, RBC Antobodies, ea panel
86870
Antibody Elution (RBC), each
86860 & 86870
Pretreat RBC with Enzymes, each
86971
Pretreat Serum with Absorption x1
86978
Pretreat Serum with Absorption x2
86978
Pretreat Serum with Absorption x3
86978
Drug Studies Request Coding
NA
Lectin Panel (Polyagglutination)
NA
CMV Negative
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