Fibrinogen Antigen (LABCORP)

Test Code
99901000416


Alias/See Also
LAB1121: Fibrinogen Antigen | LABCORP EAP: 117052


CPT Codes
85385x1

Preferred Specimen
LABCORP LAB: LT BLUE TOP-CITRATE (Refrigerated) Min Vol: 1


Other Acceptable Specimens
LABCORP LAB: LAVENDER TOP-EDTA: (Refrigerated) Min Vol: 1


Instructions
Preferred specimen: Plasma collected in Blue-top (sodium citrate) tube Patient Preparation: Ideally, the patient should not be on anticoagulant therapy. Avoid warfarin (Coumadin®) therapy for two weeks prior to the test and heparin, direct Xa, and thrombin inhibitor therapies for about three days prior to testing. Special instructions: Test Includes: LA-sensitive activated partial thromboplastin time (aPTT); dilute prothrombin time (dPT); thrombin time. If any of these three screening tests is extended, reflex testing is performed and additional charges/CPT code(s) will apply. This test will reflex immediately to aPTT Mixing Studies [117199] if aPTT is five or more seconds above the upper end of the reference interval. Please print and use the Volume Guide for Coagulation Testing located at Blood Specimens: Coagulation to ensure proper draw volume.


Transport Temperature
Specimen: Plasma, frozen Volume: 3 mL Minimum Volume: 2 mL (Note: This volume does not allow for repeat testing.) Specimen Container: Blue-top (sodium citrate) tube Specimen Collection: Citrated plasma samples should be collected by double centrifugation. 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. Gel-barrier tubes and serum tubes with clot initiators should also be collected after the citrate tubes. Centrifuge for 10 minutes and carefully remove 2/3 of the plasma using a plastic transfer pipette, being careful not to disturb the cells. Deliver to a plastic transport tube, cap, and recentrifuge for 10 minutes. Use a second plastic pipette to remove the plasma, staying clear of the platelets at the bottom of the tube. Transfer the plasma into a Labcorp PP transpak frozen purple tube with screw cap (Labcorp No. 49482). Freeze immediately and maintain frozen until tested. Transport Temperature: Frozen Turn-around-time (from date of pickup of specimen by Labcorp): 2-3 days Cause for Rejection: Severe hemolysis; improper labeling; clotted specimen; specimen diluted with IV fluids; samples thawed in transit; improper sample type; sample out of stability.


Report Available
LABCORP LAB
STAT: 5760 min
Routine: 5760 min
Extended TAT: No TAT min
Timed: 5760 min
Life or Death: 5760 min



Last Updated: March 6, 2023


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.