FIBTEM-Viscoelastic Clot Assessment

Test Code
FBTEM


Alias/See Also
Rotem


CPT Codes
85396

Preferred Specimen
Citrate (BLU)


Instructions

Collect whole blood in 3.2% buffered sodium citrate (9:1 blood to sodium citrate). Venipuncture must be atraumatic.




Specimen Stability
Mix specimen well (minimum 10 times) and test within 4 hours of collection. Do Not Centrifuge
 


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

Reject hemolyzed, clotted, overfilled, or short draw (<90%) samples.



Reject specimens for patients less than one year of age.




Methodology
Rotem Delta Thromboelastometry

Setup Schedule
24x7


Report Available
Use ROTEM VIEWER to view test progress in real time.
Result values available as soon as testing is completed.
Full report and graphs available in EPIC MEDIA Tab.


Reference Range
Test Reference Range Critical
A10
  Labor and Delivery Units
6-22 mm
9-22 mm
<6
<9
A20 11-24 mm  
MCF 10-24 mm  


Clinical Significance

The Fibtem® assay is a semi-quantitative in vitro diagnostic assay on the ROTEM® delta Thromboelastometry System to monitor the clot firmness of citrated whole blood specimens after blocking platelet contribution to the clot firmness. The fib-tem® reagent is always used in conjunction with ex-tem® reagent.




Performing Laboratory
CRMC Laboratory
CCMC 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.