Disseminated Intravascular Coagulation Panel

Last Modified: 3/2/2020 9:32:14 AM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: Platelet Poor Plasma from 2.7 mL Whole Blood in a Blue Top Tube - 3.2% Buffered Sodium Citrate
3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions: Specimens must be filled appropriately see this example

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

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.

Transport & Storage: Temperature/Stability:

Unfractionated heparinized patient 4 hour Ambient 

Non-heparinized patient 24 hours Ambient 

Rejection Criteria: Frozen in a Frost Free Freezer; over or under filled tubes; 3.8% Sodium Citrate; clotted; underfilled; overfilled; inappropriate temperature; HCT >55%; cell volume > 1/2 the tube volume; Re-frozen; Thawed specimens
Reference Range: Refer to Individual Tests
Critical Ranges:  
Test Comments:  
Methodology: Multiple
Clinical Significance:  
Custom Panel: No


Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: DIC2
EPIC Test Code: LAB2672
Alternate Test Names: DIC
Included Tests:
Activated Partial Thromboplastin Time (APTT);  D-Dimer Quantitative; Fibrinogen; INR; Platelet Count (PLT); Prothrombin Time (PT)   
CPT Coding: 85049, 85379, 85384, 85610, 85730

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