Venous Thrombosis Panel

Test Code
901372


CPT Codes
&#8288;&#8288;&#8288;&#8288;&#8288;&#8288;&#8288;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
Please see individual tests for specimen requirements, and stabilities.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis; Grossly lipemic; Grossly icteric


Methodology
Various

Setup Schedule
Set up and Report available: See individual tests


Reference Range
See individual tests




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.