APC Resistance Profile with Reflex to Factor V Leiden
0030192
Ordering Recommendation
Recommended test to detect activated protein C resistance and confirm presence of a factor V Leiden mutation.
Submit With Order
Mnemonic
APC R
Methodology
Clotting/Polymerase Chain Reaction/Fluorescence Monitoring
Performed
Refer to individual components
Reported
1-5 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
 
Collect
Lt. blue (sodium citrate) AND lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.  
Specimen Preparation
Transport 1.5 mL platelet-poor plasma AND 3 mL whole blood. (Min: 1 mL/each)  
Storage/Transport Temperature
Plasma: Frozen. Whole Blood: Refrigerated.  
Unacceptable Conditions
Plasma: Non-frozen specimens.  
Remarks
 
Stability
Plasma: Ambient: 4 hours; Refrigerated: Unacceptable; Frozen at -20°C: 3 months; Frozen at -70°C: 6 months
Whole Blood: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable  
Reference Interval
Test Number Components Reference Interval
0030127APC Resistance Profile 2.0 or greater
0097720Factor V Leiden (F5) R506Q Mutation Negative: This sample is negative for factor V Leiden, R506Q mutation.
Interpretive Data
Ratios less than 2.00 suggest APC resistance. This method uses factor V deficient plasma; therefore, APC resistance due to a nonfactor V mutation will not be detected. Extreme factor V deficiency may cause abnormal ratio.
Note
If APC resistance is normal, then no further testing will be added. If APC resistance is low, then Factor V Leiden by PCR will be added. Additional charges apply.
CPT Code(s)
85307;
If reflexed, add 81241
Components
Component Test Code*Component Chart Name
0030193APC Resistance
0030194Factor V Leiden by PCR
2001308FACV REF Specimen
* 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.
Cross References
  • Factor V Leiden Functional Assay with Reflex to PCR