Thrombotic Risk, Inherited Etiologies (Uncommon)
0030177
Ordering Recommendation
Acceptable panel to screen for uncommon inherited thrombophilias.
Mnemonic
THROMUNCOM
Methodology
Electromagnetic Clot Detection/Microlatex Particle-Mediated Immunoassay/Chromogenic Assay
Performed
Refer to individual components
Reported
1-4 days  
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
Specimen Required
Patient Preparation
  
Collect
Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.  
Specimen Preparation
Transfer two 2 mL aliquots of platelet-poor plasma to ARUP Standard Transport Tubes. (Min: 1 mL/aliquot)  
Storage/Transport Temperature
CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.  
Unacceptable Conditions
Serum or non-sodium citrate plasma. Room temperature specimens.  
Remarks
  
Stability
Ambient: Unacceptable; Refrigerated: 4 hours; Frozen: 1 month  
Reference Interval
 
 
Test Number Components Reference Interval
0030235Partial Thromboplastin Time 24-​35 seconds
0030113Protein C, Functional 1-​4 days: 17-​53%
5-​29 days: 20-​64%
30-​89 days: 21-​65%
90-​179 days: 28-​80%
180-​364 days: 37-​81%
1-​6 years: 40-​92%
7-​9 years: 56-​144%
10-​11 years: 59-​143%
12-​13 years: 57-​142%
14-​15 years: 56-​162%
16-​17 years: 68-​154%
18 years and older: 77-​173%
0098894Protein S Free, Antigen 1-​89 days: 15-​55%
90-​179 days: 35-​92%
180-​364 days: 45-​115%
1-​5 years: 62-​120%
6-​9 years: 62-​130%
10-​17 years: 60-​140%
18 years and older Male: 74-​147%
18 years and older Female: 55-​123% 
0030010Antithrombin, Enzymatic (Activity) 1-​4 days: 39-​87%
5-​29 days: 41-​93%
30-​89 days: 48-​108%
90-​179 days: 73-​121%
180-​364 days: 84-​124%
1-​5 years: 82-​139%
6 years:  90-​131%
7-​9 years:  90-​135%
10-​11 years: 90-​134%
12-​13 years: 90-​132%
14-​15 years: 90-​131%
16-​17 years: 87-​131%
18 years and older: 76-​128%
Interpretive Data
Refer to report.  
Note
 
CPT Code(s)
85610; 85730; 85303; 85306; 85300
Components
Component Test Code*Component Chart Name
0030010Antithrombin, Enzymatic (Activity)
0030053Thrombosis Interpretation - Uncommon
0030113Protein C Functional
0030220Prothrombin Time
0030235Partial Thromboplastin Time
0098894Protein S Ag Free
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Aliases
  • Antithrombin, Enzymatic (Activity)
  • Hypercoag
  • Hypercoagulable Panel, Inherited Etiologies (Uncommon)
  • Partial Thromboplastin Time
  • Protein C Functional
  • Protein S Ag Free
  • Prothrombin Time
  • Thrombophilia
  • Thrombosis Interpretation Uncommon