PT

Message
Test performed at York Hospital Lab.


Test Code
PT


Alias/See Also
Prothrombin Time
Protime


CPT Codes
85610

Preferred Specimen
Whole blood collected in a 3.2% sodium citrate (light blue-top) tube NOTE: This tube can also be used for in-house D-Dimer, PTT, and/or Fibrinogen testing.


Other Acceptable Specimens
0.5 mL platelet-poor plasma collected in a 3.2% sodium citrate (light blue-top) tube, transferred to a plastic screw-cap vial


Instructions
Draw blood into light blue-top tube, filling tube to mark indicated on the tube. Do not overfill.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 24 hours
Refrigerated: Not recommended
Frozen (plasma): 2 weeks
Frozen (whole blood): unacceptable


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


Methodology
Clotting Assay

Setup Schedule
Daily


Report Available
Next Day Available STAT 1/2 Hour


Reference Range
PT   11.6-14.6 seconds
INR   0.85-1.15

ACCP, 2004 Recommendations for oral anticoagulant therapy:
Low Intensity 1.50 - 2.00 INR
Mod Intensity 2.00 - 3.00 INR
High Intensity
         or
High Intensity
2.50 - 3.50 INR

3.00 - 4.00 INR

Critical Values
INR >5.0


Clinical Significance
This is a screening test for abnormalities of coagulation factors that are involved in the extrinsic pathway. Test is also used to monitor effects of Warfarin therapy and to study patients with hereditary and acquired clotting disorders.




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.