Coag Profile

Last Modified: 11/14/2019 1:35:32 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

2.7 mL Whole Blood Blue Top Tube - 3.2% Na Citrate 
and
3.0 mL Whole Blood in a Lavender Top Tube - EDTA

Collection Instructions:
Blue Top: 
Correct ratio of Blood to Citrate is critical (9:1). Specimens must be filled within +/- 10% of stated volume.Specimens must be filled appropriately see this example

Follow Platelet Poor Plasma preparation before sent to Coagulation, 

Correct ratio of Blood to Citrate is critical (9:1). Specimens must be filled within +/- 10% of stated volume.

If a Blue Top Tube is collected utilizing a butterfly, a Blue Discard Tube must be drawn first to remove air from the line. If this is not done, the Blue Top Tube will not be filled properly due to the vacuum in tube and a redraw will be required

Heparinized Patient specimens must be spun within 1 hour of collection

Note: Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should be avoided, if possible. 
If the blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution should be considered. 
When obtaining specimsn from indwelling lines that may contain heparin, the line should be flushed with 5mL of saline, and the first 5 mL of blood or 6-times the line volume
(dead space volume of the catheter) be drawn off and discarded before the coagulation tube is filled. For those samples collected from a normal saline lock (capped off venous port) twice the dead space volume of the catheter and extension set should be discarded.

Minimum Volume: 1.8 mL Whole Blood in a Clear Blue Top Tube
Transport & Storage: Temperature/Stability: Blue Top Tube: 4 hours Ambient

Lavender: 72 hours Refrigerated
Rejection Criteria: clotted; underfilled; overfilled; inappropriate temperature; HCT >55%; cell volume > 1/2 the tube volume;
Reference Range:

See Individual Tests

Critical Ranges:  
Test Comments:  
Methodology: See Individual Tests
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: COAG
EPIC Test Code: LAB2437
Included Tests: Activated Partial Thromboplastin Time (APTT); Fibrinogen; Platelet Count; Prothrombin Time (PT)
CPT Coding: 85049, 85610, 85730, 85384

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