Fibrinogen, Plasma

Test Code
FIB - NOCO


CPT Codes
85384

Preferred Specimen
1.0 mL plasma from Blue Top (Na Citrate)


Minimum Volume
Full blue top tube or 1.0 mL plasma frozen


Instructions
  • It is imperative that the tube be completely filled to frosted line. The ratio of blood to anticoagulant is critical for valid coagulation results. If obtaining blood with a syringe, fill the light blue-top (sodium citrate) tube first.
  • If patient is on heparin, specimen must be centrifuged and separated within 1 hour of draw.
  • Heparin contaminated tube is not acceptable.
  • Keep specimen anaerobic.
  • Patients with an extremely high hematocrit may require special tubes before obtaining blood for coagulation testing. Please contact the lab for further information.
  • If testing will not be completed within 4 hours, spin down, remove plasma, and spin plasma again, and send specimen frozen in plastic vial.


Specimen Stability
Specimen Type Temperature Time
Whole blood Na Cit  on heparin Ambient 1 hour
Whole blood Na Cit (unopen/unspun) Ambient 4 hours
Plasma Na Cit (open/spun) Ambient 4 hours
Plasma Na Cit double spun and separated Frozen -20 C 2 weeks


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis, clotted, insufficient volume


Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
188-433 mg/dL
Critical value (automatic call-back): <100 mg/dL


Clinical Significance
When unexplained bleeding or abnormal clotting occurs, it may be of clinical importance to quantitate fibrinogen. Fibrinogen is also a useful marker in the evaluation of several disease states including Disseminated Intravascular Coagulation, liver disease and inflammatory diseases.


Performing Laboratory
Banner Fort Collins Medical Center Laboratory
McKee Medical Center Laboratory
North Colorado Medical Center Laboratory



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.