Anna Jaques Thrombotic Risk Profile (Client 8767)

Test Code

9777CS

CPT Codes
85307, 85300, 85303, 85306, 81240, 86147 (x3), 85613<br>*** RESTRICTED USE *** This code is available for Client 8767 and 58240 only

Includes

Activated Protein C-Resistance
Antithrombin III Activity
Protein C Activity
Protein S Activity
Prothrombin (Factor II) 20210G>A Mutation Analysis
Cardiolipin Antibody (IgA)
Cardiolipin Antibody (IgG)
Cardiolipin Antibody (IgM)
dRVVT Screen
dRVVT Confirm
dRVVT 1:1 Mix

If dRVVT screen is prolonged (>45 seconds), the dRVVT Confirmation will be performed at an additional charge. If dRVVT Confirm is positive, a dRVVT 1:1 dilution will be performed at an additional charge.

Preferred Specimen

7 mL plasma collected in a 3.2% sodium citrate (light blue-top) tube and
6 mL whole blood collected in an EDTA (lavender-top) or EDTA (royal blue-top) tube

Minimum Volume

Whole blood: 3 mL
Plasma: 3.5 mL

Instructions

See individual assays

Transport Temperature

Plasma: Frozen
Whole blood: Room temperature

Specimen Stability

Plasma
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 14 days

Whole blood
Room temperature: 8 days
Refrigerated: 8 days
Frozen: 30 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

See individual assays

Methodology
See individual assays

FDA Status
This test was developed and its performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.

Setup Schedule

See individual assays

Clinical Significance

See individual assays

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.