Hexagonal Phase Confirmation

Last Modified: 10/5/2022 11:24:50 AM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

1.5 mL Platelet Poor Plasma from a Blue Top Tube - 3.2% Buffered Sodium Citrate in a Plastic Vial 

Collection Instructions: Centrifuge light blue-top tube 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL).
Minimum Volume: 0.5 mL Platelet Poor Plasma
Transport & Storage: Temperature/Stability: Unacceptable Ambient
Unacceptable Refrigerated
90 days Frozen

Freeze immediately and ship on dry ice.
Rejection Criteria: Received at room temperature or Refrigerated • Thawed plasma • Hemolysis
Reference Range: Negative
Critical Ranges:  
Test Comments:  
Methodology: Clot Detection
Clinical Significance: This test is useful in determining the presence of the lupus anticoagulant that is associated with increased risk of thrombosis.
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 1 to 3 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed: Quest - Chantilly
PHL Test Code: MSOT
EPIC Test Code: MISC
Send Out Test Code: 36573
Included Tests:  
CPT Coding: 85598

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