Prolonged PT Evaluation [19643X]

Test Code
18180


CPT Codes
85610

Includes
Prothrombin Time with INR

If Prothrombin Time with INR, is minimally prolonged (12-14 sec), then Minimally Prolonged PT Profile, will be performed at an additional charge.

If Prothrombin Time with INR, is prolonged (> 14 sec), then PT 1:1 Mixing Study Profile, Progressive, will be performed at an additional charge.

Additional assays, if needed, will be performed at an additional charge to determine the cause of the abnormality.


Preferred Specimen
1 mL (x4) platelet-poor citrated plasma collected in 3.2% sodium citrate (light blue-top) tubes


Minimum Volume
1 mL (x4)


Instructions
4 mL frozen citrated platelet-poor plasma.
Submit 4 plasma aliquots, each with 1 mL plasma for possible additional testing.


Transport Temperature
Frozen


Specimen Stability
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 14 days


Methodology
Photo/Optical (P/O)

Setup Schedule
Set up: Mon-Sat; Report available: Next day


Reference Range
See Laboratory Report


Clinical Significance
The investigation of a prolonged Prothrombin Time will
depend on the extent of prolongation. The investigation
follows a testing algorithm with an endpoint of arriving
at a final diagnosis, most commonly a vitamin K
deficiency, anticoagulant therapy, specific factor
deficiency, or an inhibitor of coagulation.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.