Resources

PT Mixing Study

Message
Performed at BUMCT-Coagulation


Test Code
PT MIX/T


CPT Codes
85611

Preferred Specimen
3.2% Sodium Citrate – Blue Top Tube


Instructions
BUMCS - double spin technique to obtain platelet poor plasma.
North Clinic and Orange Grove Clinic - if sample to arrive at BUMCT within 4 hours may send whole blood.  
Centrifuge within 1 hour of collection. If testing is not complete within 4 hours of collection, Remove plasma using plastic transfer pipettes and double spin technique, freeze in plastic tube


Transport Temperature
·         <4 of collection - room temperature
·         >4 hours of collection -Frozen-use dry ice


Specimen Stability
·         Plasma stability - 4 hours at 2-8°C or 20°C,
·         2 weeks at -20°C - -80°C in a non-frost-free freezer


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
·         clotted specimens
·         underfilled or overfilled tube
·         collection in 3.8% Citrate
·         specimens collected in expired tubes
·         serum samples
·         specimen past stability
·         thawed frozen samples
·         Hemolyzed, Icteric and Lipemic samples
·         Hct >55%


Reference Range
PT  9.4 – 12.5 seconds


Clinical Significance
In the event of an unexplained prolonged PT and/or PTT, it is clinically necessary to determine if the long clotting time is due to a factor deficiency or to the effects of a circulating inhibitor (antibody). 




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.