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
Mon-Sat
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 EDTA plasma or hemolyzed specimens.  
Remarks
  
Stability
Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month  
Reference Interval
 
 
Test Number Components Reference Interval
0030235Partial Thromboplastin Time 24-​35 seconds
0030113Protein C, Functional Effective November 17, 2014
 
Age Reference Interval
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 70-​142%
10-​11 years 68-​143%
12-​13 years 66-​162%
14-​15 years 69-​170%
16-​17 years 70-​171%
18 years and older 83-​168%
0098894Protein S Free, Antigen  
 
Age Male Female
1-​89 days 15-​55% 15-​55%
90-​179 days 35-​92% 35-​92%
180-​364 days 45-​115% 45-​115%
1-​5 years 62-​120% 62-​120%
6-​9 years 62-​130% 62-​130%
10-​17 years 60-​140% 60-​140%
18 years and older 74-​147% 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 NameLOINC
0030010Antithrombin, Enzymatic (Activity)27811-9
0030053Thrombosis Interpretation - Uncommon20991-6
0030113Protein C Functional27819-2
0030220Prothrombin Time5902-2
0030235Partial Thromboplastin Time14979-9
0098894Protein S Ag Free27821-8
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
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