Euglobulin Clot Lysis Time

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
EUGLOB


CPT Codes
85360

Preferred Specimen
2 mL plasma collected in a 3.2% sodium citrate (light blue-top) tube


Patient Preparation
Prohibit exercise prior to drawing sample

Minimum Volume
1 mL


Instructions
Specimen collection container is blue-top (3.2% sodium citrate) tube. To avoid release of plasminogen activator, do not massage vein vigorously, pump fist excessively or leave tourniquet in place for a prolonged period. Centrifuge within 30 minutes after collection to get platelet-poor plasma and freeze on dry ice. Ship specimens frozen on dry ice. Keep samples in a -60 to -80 ° C freezer if they cannot be shipped promptly.


Transport Temperature
Frozen


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 4 hours
Frozen: 21 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Room temperature and Refrigerated specimens • Gross hemolysis • Icterus • Lipemia


Methodology
Clot Dissolution

Setup Schedule
Wednesday Morning Report available: 2 Days


Reference Range
>60 min


Clinical Significance
Euglobulin clot lysis time (ECLT) provides an overall assessment of the fibrinolysis system by measuring the time for an in vitro clot to dissolve in the absence of the normal plasmin inhibitors. ECLT is useful in assessing the fibrinolytic system and monitoring patients on urokinase or streptokinase fibrinolytic therapy.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



Last Updated: November 29, 2021


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.