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Venous Thrombosis Panel
Test CodeCPT Codes
⁠⁠⁠⁠⁠⁠⁠83090, 85300, 85301, 85303, 85306, 85307, 85610, 85613, 85730, 86147 (x3)<br>Restricted Client Code
Includes
31789 - Homocysteine
1779 - Protein S Activity
8922 - Mixing Study
216 - Antithrombin III Activity
1777 - Protein C Activity
7079 - Lupus Anticoagulant Evaluation with Reflex
7352 - Cardiolipin Antibodies (IgG, IgA, IgM)
5158 - Antithrombin III Antigen
22 - Activated Protein C Resistance
Reflex Criteria:
If the PT is prolonged (> 13.5 seconds), the PT-Mix is performed at an additional charge (CPT code(s): 85611).
If the PTT-LA is prolonged (> 40 seconds), the PTT-LA Mix is performed at an additional charge (CPT code(s): 85732).
If the PTT-LA Mix corrects, an Incubated PTT-LA Mix is performed at an additional charge (CPT code(s): 85732).
If PTT-LA Screen is prolonged (>40 seconds), then Hexagonal Phase Confirmation will be performed at an additional charge (CPT code(s): 85598).
If dRVVT screen is prolonged (>45 seconds), dRVVT Confirmation will be added at an additional charge (CPT code(s): 85597).
If the dRVVT Confirm is positive, a dRVVT 1:1 dilution will be added at an additional charge (CPT code(s): 85613).
If the Hexagonal Phase Confirm is positive or weakly positive a Thrombin Clotting Time, will be performed at an additional charge. (CPT code(s): 85670).
Instructions
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Methodology
Various
Setup Schedule
Reference Range