Resources

Standard TEG w/Heparinase & PLT Map

Message
Performed in Coagulation
BUMCP ONLY: Samples may be transported through the pneumatic tube system however you must call 839-3471 PRIOR to collection. Send the sample at room temperature immediately after collection. Place a green TEG slip in the sample bag to ensure priority handling. If you transport by hand to the Laboratory, ensure you deliver directly to Coagulation.
NOTE: Other locations MUST walk the specimens to lab - DO NOT TUBE DOWN.


Test Code
STEG/MAP/HEP


Includes
R STD w/Heparinase
K STD w/Heparinase
Angle STD w/Heparinase
Map Amp STD w/Heparinase
LY30 STD /Heparinase
MA Activator
ADP % Inhibition
AA % Inhibition
MA ADP
MA AA


Preferred Specimen
·         3.2 % Sodium Citrate (Blue Top Tube, full tube required)
·         Sodium Heparin Tube (at least 14.7 IU of Heparin/ml green Top Tube,  No GEL,  full tube required)


Instructions
For samples drawn by venipuncture, use a 21-gauge needle. The first 3 mL of blood should not be used for TEG testing due to the possible contaminants in the sample during normal phlebotomy. Draw a discard tube if the only sample being drawn will be for TEG testing.

For line draws the first 7 mL of blood should be discarded.

Note: Transport at room temperature immediately after collection. DO NOT CENTRIFUGE.


Transport Temperature
Ambient


Specimen Stability
·         Sodium citrate tube, test within 10 minutes to 2 hours of collection
·         Sodium heparin tube, test within 15 minutes to 2 hours of collection


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Whole blood samples not collected in a 3.2% sodium citrate tube
Whole blood sample collected in a heparin gel tube
Underfilled of overfilled
Clotted specimens
Samples contaminated with tissue contaminants
Refrigerated, chilled on ice, heated or frozen
Centrifuged specimens
Blood sample collected in sodium heparin tube not allowed to equilibrate from time of draw-Change (10 minutes for citrated tubes and 30 minutes for heparin tubes) to ( 10 minutes for citrated tubes and 15 minutes for heparin tubes)
Samples sent via the tube station unless approved by the Pathologist or validation has been performed. 
Samples drawn in outdated/expired tubes


Reference Range


Clinical Significance
In the presence of heparin, provides a comprehensive, functional assessment of hemostasis to determine the presence of antiplatelet medications and assist in directing therapy in cardiovascular patients.


Performing Laboratory
Performed on-site



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.