von Willebrand Factor Activity

Message

Performed in the Hematology Laboratory x5475, 76. Performed as part of the VWSCR panel (vonWillebrand screen)




Test Code
VWACT


CPT Codes
85245

Preferred Specimen
plasma


Minimum Volume


2.7 mL. Sample MUST be drawn to minimum fill line on tube or the sample will be rejected as QNS.




Instructions


If drawn with other coagulation assays: for up to 3 tests draw2, 2.7mL sodium citrate tubes. For 4 or more coagulation tests, draw 3, 2.7 mL sodium citrate tubes.




Transport Container


Light Blue Top (Sodium Citrate), 2.7 mL draw tubes




Transport Temperature


Room temperature




Specimen Stability


Refrigerator Stability: 4 hours
Plasma is stable for 6 months frozen at -70 degrees C.




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


Gross hemolysis, QNS, Clotted




Methodology
Latex agglutination

Setup Schedule

2-3x/week,  weekdays between 8-4pm.  Plasma is frozen until testing is performed. Special arrangements for STAT/after hours testing can be made by calling the Hematology laboratory at x5475.
 




Limitations
VWF is an acute-phase reactant and stres, pregnancy, and other situations affect its plasma concentration.
Results are not affected by hemoglobin up to 70 mg/dL, bilirubin up to 4.2 mg/dL, triglycerides up to 1020 mg/dL, and rheumatoid factor up to 200 IU/mL.


Reference Range
See interpretive comments. Reference ranges are ABO blood group dependent.


Clinical Significance
To screen for VonWillebrand disease; differentiate VWD from hemophilia; monitor treatment




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.