Test Code LAB5157 Activated Partial Thromboplastin (APTT), Plasma
Performing Laboratory
Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center / Asante Ashland Community Hospital
Specimen Minimum Volume
1 properly filled 2 mL Blue top tube
Billing Code
3000612
Methodology
Turbidimetric clot detection by measuring change in optical density
Specimen Requirements
Blue top tube - Refer to ORDER OF DRAW Order of Draw
Note: The ratio of blood to anticoagulant is critical.
Vacutainers must draw their full volume.
Syringe Draw:
2.7 mL blood in 3 mL Blue top tube
1.8 mL blood in 2 mL Blue top tube
Specimens will not be accepted if tubes are not filled to their correct volume.
If multiple tests are drawn, draw coagulation studies first or second
Performing Department
Hematology
Day(s) Test Set Up
Monday through Sunday
Routine - same day
ASAP - 2 hours after receipt of specimen in lab
STAT - 1 hour after receipt of specimen in lab
Test Classification and CPT Coding
85730 Thromboplastin time, partial (PTT); plasma or whole blood
Additional Information
Evaluation of intrinsic coagulation system, useful in monitoring heparin therapy.Â
Aids in screening for presence of classical hemophilia A and B; Christmas disease; congenital deficiencies of Factors II, VI, VIII, IX, X, XI and XII; dysfibrinogenemia; vitamin K deficiency; congenital deficiency of Fitzgerald factor; congenital deficiency of prekallikrein (Fletcher factor).
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Not recommended for danaparoid, low molecular weight heparin monitoring.
(use Factor Xa inhibition if needed)
Specimen Transport Temperature and Stability
Specimen stable 4 hours unopened or opened, room temperature or refrigerated
AACH: Test within 4 hours or aliquot plasma and freeze
Reasons for Rejection
Quantity not sufficient (QNS)
Specimens not filled to correct volume
Lacking Two Patient Identifiers:
1-Patient's First & Last name
2-Patient's Date of Birth
Hemolysis
Clotted specimen