Resources

Platelet Aggregation (includes Path Interpretation)

Message
Performed at BGMC and BUMCT

This test can only be performed for sites within the Metro Phx or Tucson areas due to sample integrity. Testing cannot be performed for Page, Payson or or clinic sites outside of BUMCS or BUMCT main lab. 

IMPORTANT NOTES: 
BGMC Performed Monday - Friday ONLY before 5:00 pm
​BUMCT Performed Monday - Friday ONLY before 2:00 pm

DO NOT TRANSPORT VIA THE TUBE SYSTEM.

Call for STAT courier prior to collecting the sample, and time collection with the expected arrival time of the courier.
Must be received within 1 hour of collection.


Test Code
PLTAGGR


Alias/See Also
Ristocetin Aggregation


CPT Codes
85576

Includes
Tests included in the panel:
ADP
Collagen (Weak and Strong)
Epinephrine
Ristocetin (Weak and Strong)
Arachidonic Acid


Preferred Specimen
3.2% sodium citrate - blue top tubes (2.7 mL each); Whole blood - DO NOT CENTRIFUGE


Instructions
Patient should be fasting for 8 hours prior to have their blood drawn. Patient should not have taken Aspirin or Aspirin containing drugs for 7-10 days prior to testing. Platelet counts below 100,000/mm3 may give variable results and should not be used.

Tucson locations: Must hand deliver and arrive to BUMCT by 1400.
Samples received after 1400 may be cancelled by Special Procedures.


Transport Temperature
Room Temperature


Specimen Stability
4 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
·         Plasma and cells are separated
·         Delivered by pneumatic tube
·         Incorrect anti-coagulant
·         Specimen past stability
·         Underfilled or overfilled tube
·         Specimens collected in expired tubes
·         Clotted, Hemolyzed, Icteric and Lipemic samples
·         Patient’s platelet count <100,000/ul
·         Refrigerated, chilled on ice or frozen samples


Setup Schedule
Performed at BGMC & BUMCT Monday – Friday
BUMCT: Please draw Monday-Friday between 0730-1400
BGMC: Please draw Monday-Friday between 0730-1700


Reference Range


Clinical Significance
Platelet aggregation is clinically significant in the detection and diagnosis of acquired or congenital qualitative platelet defects. The platelet’s ability or inability to respond to particular aggregating reagents is the basis for differentiating platelet dysfunction.




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.