Thrombophilia Panel IIA

Test Code
901496


CPT Codes
83090, 83516 (x2), 83695, 85230, 85240, 85300, 85301, 85303, 85306, 85384, 85613, 85730, 86146 (x3), 86147 (x3)<br>Restricted Client Code

Includes

Lupus Anticoagulant Evaluation with Reflex
Antiphospholipid Antibody Panel
Fibrinogen Activity, Clauss
Factor VIII Activity, Clotting
Factor VII Activity, Clotting
Protein C and S Activity with Reflex to Antigen
Antithrombin III Activity and Antigen
Homocysteine (Cardiovascular)
Lipoprotein (a)
Plasminogen Activity
Coagulation Consultation

Reflex Criteria:
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), the 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 Protein C, Activity is < 70%, test code Protein C Antigen is performed at an additional charge (CPT code(s): 85302).

If Protein S, Activity is < 70% for Males or < 60% for Females, Protein S Antigen is performed at an additional charge (CPT code(s): 83505).



Instructions
Please see the individual tests for specimen requirements, and stabilities.


Transport Temperature
See individual tests


Specimen Stability
See individual tests


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
See individual tests


Methodology
Clot Detection • Clauss • Manual • Photo-optical Clot Detection • Immunoassay • Clotting Assay • Photometric Clot Detection • Immunoturbidimetric • Chromogenic Substrate

Setup Schedule
Set 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.