Disseminated Intravascular Coagulation Profile

Test Code

DICPP

Alias/See Also

DIC Profile

CPT Codes
83615,85025,85300,85379,85384,85610,85730,85670

Preferred Specimen

Plasma and serum are required.

Plasma for Antithrombin III; D-Dimer, Quantitative;
Fibrinogen; PT; and PTT

Draw blood in a blue-top (sodium citrate) tube. Spin specimen
down and send 4 mL of plasma in plastic vial.

Note: 1. Indicate plasma
for antithrombin III; D-Dimer, quantitative; fibrinogen;
Thrombin Time; PT; and PTT.

2. Label specimen appropriately (plasma).

Serum for LDH

Draw blood in a plain, red-top tube. Spin specimen down and send
1 mL of serum.

Note: 1. Indicate serum for LDH.

2. Label specimen appropriately (serum).

Whole Blood for CBC

Draw blood in a lavender-top (EDTA) tube, and send 3 mL (minimum
volume: 1 mL) of whole blood.

Note: 1. Indicate whole blood for CBC.

2. Label specimen appropriately (whole blood).

Transport Temperature

Ambient-Whole Blood
Refrigerate-Serum
Frozen-Plasma

Methodology

Profile Information:
Antithrombin III	Lactate Dehydrogenase (LDH)
Complete Blood Count (CBC) With Differential	Partial Thromboplastin Time (PTT), Activated
D-Dimer, Quantitative	Protime or Prothrombin Time (PT)
Fibrinogen	Thrombin Time (TT)

Setup Schedule

Monday through Sunday

Reference Range

See individual test listings.

An interpretive report will be provided.

Performed By
North Mississippi Medical Center Pathology Department

Performing Laboratory
NMMC Pathology Department

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.