DRVVT Screen with Reflex Confirmation

Overview

  • EPIC Code:
  • LAB2686
  • Soft Test Code:
  • DRVT
  • Send Out Test Code:
  • 15780
Alternate Names
  • Dilute Russell Viper Venom
  • DRVVT Screen w/Reflex
  • dRVVT Screen w/rfl dRVVT Confirm & dRVVT 1:1 Mix
Clinical Significance

The dilute Russell Viper Venom time integrated test is a sensitive methold for the detection of Lupus Anticoagulants (LA). LA are autoantibodies that target protein-phospholipid complexes and are found in a variety of clinical conditions. In some patients, a confirmed positive result is associated with an increased thrombotic risk, and is often found in women who have recurrent fetal loss. As Lupus anticoagulants reflect a heterogenous group of antibodies, international consensus guidelines on testing require at least two screening assays be used for a complete evaluation. Refer to Lupus Anticoagulant Comprehensive Evaluation which includes the DRVVT plus a second pathway of testing, the PTT-LA with reflex to Hexagonal Phase Confirm and Thrombin Time.


Specimen Collection & Preparation

Specimen Requirements

2 - 1.0 mL Frozen Plasma from 2 Blue Top Tubes - 3.2% Na Citrate in a 2 Plastic Vials


Transport And Storage

Unacceptable Ambient
Unacceptable Refrigerated
90 days Frozen

Freeze immediately and ship on dry ice.


Collection Instructions

Please submit a separate, frozen vial for each special coagulation assay ordered. Draw blood in a light blue-top tube containing 3.2% sodium citrate, mix gently by inverting 3-4 times. Centrifuge 15 minutes at 1500 g within one hour 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(s). Freeze immediately and transport on dry ice.

Note: the presence of direct oral anticoagulants may interfere with testing.


Minimum Volume

1.0 mL platelet poor plasma


Neonatal Volume

Clinical Interpretation

Reference Range:

dRVVT Screen ≤45 seconds
  dRVVT Confirm Negative
  dRVVT 1:1 Mix Corrected


Test Comments:

If dRVVT Screen is prolonged (>45 seconds), then dRVVT Confirm will be performed at an additional charge
If dRVVT Confirm is positive, then dRVVT 1:1 Mixing Study will be performed at an additional charge.


Methodology:
  • Clot Detection
Clinical Significance

The dilute Russell Viper Venom time integrated test is a sensitive methold for the detection of Lupus Anticoagulants (LA). LA are autoantibodies that target protein-phospholipid complexes and are found in a variety of clinical conditions. In some patients, a confirmed positive result is associated with an increased thrombotic risk, and is often found in women who have recurrent fetal loss. As Lupus anticoagulants reflect a heterogenous group of antibodies, international consensus guidelines on testing require at least two screening assays be used for a complete evaluation. Refer to Lupus Anticoagulant Comprehensive Evaluation which includes the DRVVT plus a second pathway of testing, the PTT-LA with reflex to Hexagonal Phase Confirm and Thrombin Time.


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Clinical
Turn Around Time

3 to 6 days


Coding & Compliance

CPT Coding

85613 (85597, 85613)