Platelet Antibody, Direct, Flow Cytometry

Message
ROOM TEMP ONLY!
Do NOT refrigerate or freeze after collection.
if platelet count is less than 20,000/ccm, submit 7-10 mL of whole blood.


Test Code
5019


Alias/See Also
LAB1177
PLT ABD
PLATELET ANTIBODY


CPT Codes
86023

Preferred Specimen
7 mL whole blood collected in an EDTA (lavender-top) tube


Minimum Volume
5 mL


Instructions
Do not refrigerate or freeze.
Specimens submitted in ACD (yellow-top) tubes will no longer be accepted because of the high incidence of platelet clumping associated with this anticoagulant. If the platelet count is less than 20,000/ccm, submit 7-10 mL of whole blood.

Platelet Count  Minimum Volume 
≥45,000  2   mL 
20,000-45,000  5   mL 
≤20,000 10 mL 

Pediatric minimum volume: The minimum volume is platelet count dependent. If possible, submit at least 1 mL EDTA blood.


Transport Container
EDTA (lavender-top) tube


Transport Temperature
Room temperature 


Specimen Stability
Room temperature: 6 days
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • ACD (yellow-top) tubes


Methodology
Flow Cytometry (FC)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Daily


Report Available
3-4 days


Reference Range
Anti-IgG Negative


Clinical Significance
Thrombocytopenia that is refractory to platelet transfusions may be due to direct platelet antibody. Testing is useful to differentiate immune from non-immune disorders.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.