Prothrombin Time

Test Code
LAB320


Alias/See Also
Protime, Protime-INR, PT-INR


CPT Codes
85610

Preferred Specimen
2.7 ml (2.7 ml minimum) sodium citrate (blue) whole blood. Refer to Hemostasis/Thrombosis Specimens section for specimen collection instructions


Minimum Volume
1.0 ml (1.0 ml minimum) citrated platelet-poor plasma


Instructions
Full tube, no partial fills


Specimen Stability
Unspun : 12 hours room temp; Separated from cells: 2 hours room temp, 2 hours refrigerated, 1 week frozen


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis: >500mg/dL hemoglobin, Lipemia: >1000mg/dL, Bilirubin: >30mg/dL.


Methodology
Mechanical Clot Detection, Calculated

Setup Schedule
Mon- Sun


Reference Range
Normal range for PT – 9.4 – 12.5 seconds. Oral Anticoagulant Therapeutic Ranges:
INR 2.0-3.0 Venous thrombosis, pulmonary embolus, peripheral vascular disease.
INR 2.5-3.5 Mechanical prosthetic heart valves, recurrent thrombosis
Normal range for INR – 0.9 – 1.2


Clinical Significance
The prothrombin time is a basic coagulation-screening test for the assessment of congenital and acquired
deficiencies of the extrinsic pathway (factors X, VII, V and II). The prothrombin time can be prolonged in certain
clinical states, i.e. warfarin therapy, intestinal reabsorption disorders, liver failure, fibrinolysis and DIC


Performing Laboratory
Piedmont Athens Regional



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.