ARUP's Laboratory Test Directory

Bleeding Disorders (Uncommon) with Reflex to Factor XIII 1:1 Mix and/or Fibrinogen Antigen : 2003947
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Additional Technical Information
  


Mnemonic: BLEED UCOM

Methodology: Electromagnetic Mechanical Clot Detection/Solubility/Radial Immunodiffusion
Performed: Sun-Sat
Reported: 1-4 days
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.

Specimen Preparation: Transfer 8 mL platelet-poor plasma to ARUP Standard Transport Tubes. (Min: 6 mL)

Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.

Stability (collection to initiation of testing): Ambient: 4 hours; Refrigerated: Unacceptable; Frozen: 2 weeks

Reference Interval:
 
Test Number Components Reference Interval
0030215Prothrombin Time 12.0-15.5 seconds
0030235Partial Thromboplastin Time 24-35 seconds
0030007Factor II, Activity (Prothrombin) 1-4 days: 26-70%
5-29 days: 33-93%
30-89 days: 34-102%
90-179 days: 45-105%
180-364 days: 60-116%
1-5 years: 71-116%
6 years:  67-107%
7-9 years: 78-125%
10-11 years: 78-120%
12-13 years: 72-123%
14-15 years: 75-135%
16-17 years: 77-130%
18 years and older: 86-150%
0030075Factor V, Activity 1-4 days: 36-108%
5-29 days: 45-145%
30-89 days: 62-134%
90-179 days: 48-132%
180-364 days: 55-127%
1-5 years: 79-127%
6 years:  63-116%
7-9 years: 69-132%
10-11 years: 66-136%
12-13 years: 66-135%
14-15 years: 61-129%
16-17 years: 65-131%
18 years and older: 62-140%
0030080Factor VII, Activity 1-4 days: 28-104%
5-29 days: 35-143%
30-89 days: 42-138%
90-179 days: 39-143%
180-364 days: 47-127%
1-5 years: 55-116%
6 years: 52-120%
7-9 years: 67-145%
10-11 years: 71-163%
12-13 years: 78-160%
14-15 years: 74-180%
16-17 years: 63-163%
18 years and older: 80-181%
0030105Factor X, Activity 1-4 days: 12-68%
5-29 days: 19-79%
30-89 days: 31-87%
90-179 days: 35-107%
180-364 days: 38-118%
1-5 years: 58-116%
6 years: 55-101%
7-9 years: 74-130%
10-11 years: 70-134%
12-13 years: 69-133%
14-15 years: 63-146%
16-17 years: 74-146%
18 years and older: 81-157%
2002819Factor XIII, Qualitative, with Reflex to Factor XIII 1:1 Mix  
 
Test Number Components Reference Interval
 Factor XIII, Qualitative No Lysis within 24 hours
 Factor XIII, 1:1 Mix Refer to report
0030130Fibrinogen 150-430 mg/dL
0030135Fibrinogen Antigen 149-353 mg/dL

Note: If Fibrinogen is low, Fibrinogen Antigen testing will be added. If lysis occurs in the Factor XIII Qualitative test, a 1:1 mix is added.
CPT Code(s): 85610; 85730; 85210; 85220; 85230; 85260; 85291; if reflexed, additional CPT codes may apply: 85291; 85384; 85385