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.
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
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, contact interface support at interface.support@aruplab.com.
Cross References
  • 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