PTT; Activated PTT

Test Code
LAB325


Alias/See Also
PTT; APTT; Activated Partial Thromboplastin Time


CPT Codes
85730

Includes
Partial thromboplastin time (Patient Plasma) in seconds, Partial thromboplastin time (Patient Plasma plus Normal Plasma) in seconds


Instructions
"Routine venipuncture;
Collect one 2.7ml Blue top (sodium citrate) 90% of tube must be filled.
 do not use syringe for collection."


Specimen Stability
Room temperature, stable 12 hours.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Tube <90% full; visible hemolysis; clotted specimen; improperly labeled specimen


Setup Schedule
Daily


Report Available
Urgent: 4 hours; inpatient STAT: 1 hour; outpatient STAT: 2 hours


Reference Range
24.1-37.4 Sec  ; Critical: 45.1 Sec


Clinical Significance
"The PTT test is used to investigate unexplained bleeding or clotting. It may be ordered along with a PT (Prothrombin Time) test to evaluate hemostasis, the process that the body uses to form blood clots to help stop bleeding. The PTT evaluates the coagulation factors XII, XI, IX, VIII, X, V, II (prothrombin), and I (fibrinogen) as well as prekallikrein (PK) and high molecular weight kininogen (HK). A PT test evaluates the coagulation factors VII, X, V, II, and I (fibrinogen). By evaluating the results of the two tests together, a doctor can gain clues as to what bleeding or clotting disorder may be present. A PTT is often used to monitor standard (unfractionated, UF) heparin anticoagulant therapy. Heparin is a drug that is given intravenously (IV) or by injection to prevent and to treat thromboemboli. When it is administered for therapeutic purposes, it must be closely monitored. If too much is given, the treated person may bleed excessively; with too little, the treated person may continue to clot.
Click here to see the COAGULATION TESTING ALGORITHM"


Additional Information
Guidelines for-Hypercoagulable State Testing
NCD_ABN Partial Thromboplastin Time (PTT)


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.