Test Code Billings Clinic: 2011 Abnormal Bleeding Panel
Performing Laboratory
Billings Clinic Laboratory: Coagulation
Useful For
Detection of the more common potential causes of abnormal bleeding.
Methodology
PT, PTT, Thrombin Time, Platelet Count: Optical
Fibrinogen: Modified Clauss
PFA: High-shear force dynamic flow
Specimen Requirements
Citrated whole blood, EDTA whole blood and sodium citrate plasma are required for this test.
Citrated Whole Blood for PFA
Collection Container/Tube: Draw a full, light blue-top (3.2% sodium citrate) tube, and send 3.5 mL of unprocessed sodium citrate whole blood.
Labeling and Transport Instructions:
- Do not transport specimen in pneumatic tube.
- Specimen must be hand delivered to laboratory, and test must be analyzed within 4 hours of draw.
- Do not centrifuge.
- Forward unprocessed whole blood promptly at ambient temperature only.
- Reason for test is required on request form for processing.
- Label specimen appropriately (citrated whole blood for PFA).
EDTA Whole Blood for Platelet Count
Collection Container/Tube: Draw blood in a lavender-top (EDTA) tube(s), and send 1 mL of unprocessed EDTA whole blood.
Labeling and Transport Instructions:
- Do not centrifuge.
- Forward unprocessed whole blood promptly at ambient temperature only.
- Label specimen appropriately (EDTA whole blood for platelet count).
- Specimen must arrive within 24 hours of draw.
Sodium Citrate Plasma for APTT, Fibrinogen, PT, and TT
Collection Container/Tube: Draw blood in a light blue-top (3.2% sodium citrate) tube(s).
Collection Instructions:
- Immediately after draw, gently invert tube(s) at least 6 times to mix well.
- Spin down, remove plasma, spin plasma again, and send 4 mL of plasma divided into 4 plastic vials each containing 1 mL of citrate, platelet-poor plasma.
- Double-centrifuged specimens are critical for accurate results as platelet contamination may cause spurious results.
- Glass vial is not acceptable.
- Freeze specimens immediately at -20° C.
- Plasma containing Heparin (patients being treated with Heparin) MUST be centrifuged and plasma separated within 1 hour
Labeling and Transport Instructions:
- Send specimens frozen.
- Label specimens appropriately (plasma for APTT, fibrinogen, PT, and TT).
Reject Due To
- Clotted specimen
- Specimen received in a glass vial
- Specimen received via the tube system (PFA only)
- Coagulation specimens received refrigerated
Reference Values
See individual test listings.
Day(s) Test Set Up
Daily
Test Classification and CPT Coding
85049 - platelet count
85384 - fibrinogen activity
85576 - platelet aggregation
85610 - PT
85670 - TT
85730 - APTT
LOINC Code Information
Reporting Name | LOINC Code |
PFA-ADP | 24472-3 |
PFA-EPI | 24471-5 |
Fibrinogen | 3255-7 |
Protime | 5902-2 |
APTT | 14979-9 |
Thrombin Time | 3243-3 |
Platelet | 777-3 |
Profile/Testing Information
Profile Information: | |
Activated Partial Thromboplastin Time (APTT) | Platelet Function Assay (PFA)-100 |
Fibrinogen (Activity) | Protime (PT) |
Platelet Count | Thrombin Time (TT) |