Factor V Leiden Screen with Reflex to Confirmation

Message
If the screen is positive testing will reflex to Factor V Leiden Confirmatory, Mutation


Test Code
APC


Alias/See Also
Thrombosis, Thrombophilia, APC Resistance Profile


CPT Codes
85307

Preferred Specimen
(2) 4.5 ml whole blood sodium citrate tubes (blue tops) and (1) 4 mL EDTA (purple top)


Minimum Volume
(1) 4.5 ml whole blood sodium citrate tubes (blue top) and (1) 4 mL EDTA (lavendar top)


Instructions
Collect two full sodium citrate tube (blue top).  Send to lab immediately.  If the specimen needs to be transported, centrifuge the sodium citrate tubes, aliquot the specimen into a separate container, spin again, aliquot the specimen into a new container and freeze immediately.  Send EDTA tubes whole blood room temperature or refrigerated.
 


Transport Container
Sodium citrate (blue top) and EDTA (lavender top)


Transport Temperature
Frozen


Specimen Stability
Sodium citrate tubes must be centrifuged within one hour of collection. Send EDTA whole blood room temperature or refrigerated.

Sodium citrate tubes:
Room Temperature: Not acceptable
Refrigerated: 4 hours (centrifuged)
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens which are not properly filled do not contain the proper anti-coagulant to blood ratio and are therefore rejected.  Hemolyzed and clotted specimens are also unacceptable for testing.
 


Methodology
Clotting

Setup Schedule
Set up Monday and Thursday


Report Available
Report in 1 to 5 days. Reflex testing will report within 3 to 4 days of receipt at Quest Diagnostics Nichols Institute.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.