Comprehensive Venous Thrombosis workup without Interpretation

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General Information

Lab Name
Comp Ven Thrm Wrkup w/o Intrp
Lab Code
CVTHN2
Epic Ordering
Comp Venous Thrombosis Workup w/o Intrp
Description

**Laboratory Medicine resident's approval is required for hospital inpatients and patients in Emergency Department.** VENOUS = SITE OF THROMBOSIS When clinically indicated, Hexagonal Phospholipid assay (HEXPL) will be reflexively added for diagnosis with an additional charge. NOTE: If an MD review is desired, see Lab Mnemonic: CVTHI2 = Comp Ven Thrm Wrkup with Intrp. Outside clients should fill and submit Coagulation Patient Clinical History Form available below: Coagulation Patient Clinical History Form

Synonyms
Components
Code Name
APCR Activated Protein C Resistance
APLSP Anti Phospholipid Panel
AB2GR Anti Beta2 Glycoprotein 1, IgG
AB2GC Anti B2GP1 IgG Comment
ACLGR Anti Cardiolipin, IgG
ACLGC Anti Cardiolipin, IgG Comment
AB2MR Anti Beta2 Glycoprotein 1, IgM
AB2MC Anti B2GP1 IgM Comment
ACLMR Anti Cardiolipin, IgM
ACLMC Anti Cardiolipin, IgM Comment
AT3 Antithrombin Activity
CHRF8 Chromogenic Factor VIII
HSCRP CRP, high sensitivity
INT2 Coagulation Interpretation 2
LUPACG Lupus Anticoagulant Panel
LUPAC Lupus Anticoagulant, DRVVT
PROLUP Prothrombin Time, Coag Study
PTTLUP APTT, Coag Study
TTLUP Thrombin Time, Coag Study
FIBLUP Fibrinogen, Coag Study
PCCLOT Protein C Activity
PRODS Prothrombin DNA Screen
PDRSLT Prothrombin DNA Result
PDINT Prothrombin DNA Interpretation
PDMETH Prothrombin DNA Method
PDDI Prothrombin DNA Director
PSAGF Protein S Ag (Free)

Interpretation

Method

See individual tests

Reference Range
See individual components

Ordering & Collection

Specimen Type
Blood
Collection

HMC and UW-MT Onsite Locations:

Collect Blood in each of the following tubes:

Preferred:

4 mL blood in LIME GREEN PST tube

+ 3 each of either a 3 mL or 5 mL BLUE TOP (CITRATE) tube

+ 3 mL LAVENDER tube

Also Acceptable:

4 mL blood in ORANGE RST, GOLD SST, RED TOP or GREEN TOP tube

+ 3 each of either a 3 mL or 5 mL BLUE TOP (CITRATE) tube

+ 3 mL LAVENDER tube

Offsite Clinic or Other Locations:

Collect Blood in each of the following tubes:

Preferred:

4 mL blood in GOLD SST tube

+ 3 each of either a 3 mL or 5 mL BLUE TOP (CITRATE) tube

+ 3 mL LAVENDER tube

Also Acceptable:

4 mL blood in ORANGE RST, LIME GREEN PST, RED TOP or GREEN TOP tube

+ 3 each of either a 3 mL or 5 mL BLUE TOP (CITRATE) tube

+ 3 mL LAVENDER tube

Handling Instructions

The Laboratory MUST process the Blue top tubes, within 4 hours of blood collection

Quantity
requested: Entire samples
minimum: See individual tests

Processing

Processing

** SPS will call for Laboratory Medicine Resident’s approval for hospital inpatients and patient’s in Emergency Department.** Approval is NOT required for hospital outpatients, clinic patients or outside clients.

UW-MT Instructions:

1) Refrigerate Lavender top for Prothrombin DNA Screen [PRODS].

2) Take Blue top tubes to UW-MT Coag for processing. Coag tech will freeze plasma samples for transport to HMC COAG and UW-MT Immunology Lab.

3) Centrifuge GOLD SST, LIME GREEN PST, RED or GREEN TOP tube received for HSCRP. Refrigerate serum/plasma.

HMC Instructions:

1) Refrigerate Lavender top for Prothrombin DNA Screen [PRODS].

2) Take Blue top tube specimen to Coag for processing.

3) Centrifuge GOLD SST, LIME GREEN PST, RED or GREEN TOP tube received for HSCRP. Refrigerate serum/plasma.

Outside Laboratory:

1) Centrifuge Blue top tubes for 10 minutes, remove plasma & re-spin plasma for another 10 minutes. Decant & Freeze 3 aliquots of plasma (minimum 1 mL each) at -20°C to -80°C. Send Frozen on dry ice.

2) Centrifuge GOLD SST, LIME GREEN PST, RED or GREEN TOP tube for HSCRP. Decant an aliquot of serum/plasma (minimum 0.3 mL) and refrigerate or freeze at -20°C if more than 72 hour delay is expected.

3) Ship Lavender top at Ambient Temperature for Prothrombin DNA Screen.

Performance

LIS Dept Code
Performing Location(s)
HMC See Individual Tests
UW-MT See Individual Tests
Frequency
See individual tests
Available STAT?
No

Billing & Coding

CPT codes
81240, 85130, 85300, 85303, 85306, 85307, 85384, 85610, 85613x2, 85670, 85730, 86140, 86146x2, 86147x2
LOINC
18720-3
Interfaced Order Code
UOW4018