DDIMER (AUTOMATED)

Message
HEMATOLOGY/COAGULATION


Test Code
DDIMER


Alias/See Also
D-DIMER


Preferred Specimen
PLASMA-NA CITRATE TUBE


Minimum Volume
2.7 MLS


Instructions
D-DIMER MUST BE RUN WITHIN 4 HRS OF DRAW. DRAW 1 BLUE TOP NA-CITRATE TUBE. FILL TO LINE. DO NOT OVERFILL, Follow the rule for order of draw. Mix well


Transport Temperature
ROOM TEMPERATURE


Specimen Stability
Room temperature: 4 hours
Refrigerated (2-8°C): 4 hours
Frozen (-20°C): 2 weeks
Frozen (-70°C): 12 months


Methodology
Turbidimetric Immunoassay

Setup Schedule
DAILY


Report Available
DAILY


Reference Range
Effective 10/2023
A low risk/probability of pulmonary embolism has been reported in patients >=50 yrs of age with either a low clinical test probability
(Wells score of 0-4)and a d-dimer value of <=1000 ng/mL. Or a moderate clinical test probability(Wells score of 4.5-6.0) and a d-dimer 
value of <=500 ng/mL.

Effective 6/19/2014
< 300 ng/mL D-Dimer (units: DD-U) assay and associated reference range is FDA approved for the exclusion of deep vein thrombosis and/or pulmonary embolism. Effective 6/19/14 cut-off value for exclusion of venous thromboembolism is 230ng/ml, based on manufacturer studies.


Clinical Significance
D-Dimer is one of the measurable by-products of activation of the fibrinolytic system. Quantitation of D-Dimer assesses fibrinolytic activation and intravascular thrombosis. D-Dimer is of particular value in excluding the diagnosis of venous thromboembolism among patients at high risk.
Effective: 10/2023
A low risk/probability of pulmonary embolism has been reported in patients >=50 yrs of age with either a low clinical test probability(Wells score of 0-4)and a d-dimer value of <=1000 ng/mL. Or a moderate clinical test probability(Wells score of 4.5-6.0) and a d-dimer value of <=500 ng/mL.


Performing Laboratory
WHITE RIVER JUNCTION VT VA- HEMATOLOGY/COAG 802-295-9363 EXT: 5518, 5519



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.