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Thrombophilia Panel IIA
Test CodeCPT Codes
⁠⁠⁠⁠⁠⁠⁠83090, 83516 (x2), 83695, 85230, 85240, 85300, 85301, 85303, 85306, 85384, 85613, 85730, 86146 (x3), 86147 (x3)<br>Restricted Client Code
Includes
7079 - Lupus Anticoagulant Evaluation with Reflex
14890 - Antiphospholipid Antibody Panel
461 - Fibrinogen Activity, Clauss
347 - Factor VIII Activity, Clotting
346 - Factor VII Activity, Clotting
7942 - Protein C and S Activity with Reflex to Antigen
7017 - Antithrombin III Activity and Antigen
31789 - Homocysteine (Cardiovascular)
34604 - Lipoprotein (a)
4458 - 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
Transport Temperature
Specimen Stability
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Methodology
Clot Detection • Clauss • Manual • Photo-optical Clot Detection • Immunoassay • Clotting Assay • Photometric Clot Detection • Immunoturbidimetric • Chromogenic Substrate
Setup Schedule
Reference Range
