Antithrombin III, Func/Immunol

Message
If the patient's hematocrit exceeds 55%, the volume of citrate in the collection tube must be adjusted. Refer to Coagulation Collection Procedures for directions.


Test Code
015594


Alias/See Also
Antithrombin III Profile, AT3 Profile; AT-III Profile


CPT Codes
85300, 85301

Preferred Specimen
Plasma, FROZEN


Minimum Volume
2 mL


Instructions
Blood should be collected in a blue-top tube containing 3.2% buffered sodium citrate.[1] Evacuated collection tubes must be filled to completion to ensure a proper blood to anticoagulant ratio.[2,3] The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood. A discard tube is not required prior to collection of coagulation samples.[4,5] When noncitrate tubes are collected for other tests, collect sterile and nonadditive (red-top) tubes prior to citrate (blue-top) tubes. Any tube containing an alternate anticoagulant should be collected after the blue-top tube. Serum gel tubes and serum tubes with clot initiators should also be collected after the citrate tubes. Centrifuge and (using a transfer pipette) carefully remove the plasma without disturbing the cells. Transfer the plasma into a LabCorp PP transpak frozen purple tube with screw cap (LabCorp item ID 49482). The specimen should be frozen immediately and maintained FROZEN until tested. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested. Please print and use the Specimen Collection Bulletin as a tube-filling guide.


Transport Container
Blue-top (sodium citrate) tube


Transport Temperature
FREEZE


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis; tubes improperly filled; tubes improperly labeled; clotted specimens; thawed specimen


Methodology
AT antigen: Automated (LIATEST) enzyme immunoassay (EIA) AT activity: The patient plasma is mixed with heparin and thrombin. The extent of thrombin inhibition is proportional to the AT concentration of the patient sample. Residual thrombin activity is mea



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.