Heparin-Induced Platelet Antibody

Test Code
39868


CPT Codes
86022<br>Restricted Client Code

Preferred Specimen
1 mL random serum collected in a red-top tube (no gel)


Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma collected in a 3.2% sodium citrate (light blue-top) tube


Instructions
Serum: Centrifuge red top tube 15 minutes at approximately 1500 g as soon as possible after clotting.

Plasma: Centrifuge blue top tube 20 minutes at approximately 2500 g. Remove plasma from the cells as soon as possible.


Transport Temperature
Frozen


Specimen Stability
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 6 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received room temperature • Gross hemolysis • Lipemia • Icteric • Serum separator tube


Methodology
Immunoassay (IA)

Setup Schedule
Set up: Daily; Report available: 1 day


Reference Range
See Laboratory Report


Clinical Significance
Heparin can induce thrombocytopenia, a decreased platelet count, due to antibody stimulation. False positive results may be due to immune complexes. False negative results may be due to low titer, low avidity antibodies.




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.