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Bleeding Disorders (Uncommon) with Reflex to Factor XIII 1:1 Mix and/or Fibrinogen Antigen (INACTIVE as of 05/19/14)
2003947
Ordering Recommendation
Mnemonic
BLEED UCOM
Methodology
Electromagnetic Mechanical Clot Detection/Solubility/Radial Immunodiffusion
Performed
Sun-Sat
Reported
1-4 days
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
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 8 mL platelet-poor plasma to ARUP Standard Transport Tubes. (Min: 6 mL) 
Storage/Transport Temperature
CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered. 
Unacceptable Conditions
Serum. Non-frozen or hemolyzed specimens. 
Remarks
 
Stability
Ambient: 4 hours; Refrigerated: Unacceptable; Frozen: 2 weeks 
Reference Interval
Test Number
Components
Reference Interval
0030215Prothrombin Time12.0-15.5 seconds
0030235Partial Thromboplastin Time24-35 seconds
0030007Factor II, Activity (Prothrombin)
AgeReference IntervalAgeReference Interval
1-4 days26-70%7-9 years78-125%
5-29 days33-93%10-11 years78-120%
30-89 day34-102%12-13 years72-123%
90-179 days45-105%14-15 years75-135%
180-364 days60-116%16-17 years77-130%
1-5 years71-116%18 years and older86-150%
6 years67-107%

0030075Factor V, Activity
AgeReference IntervalAgeReference Interval
1-4 days36-108%7-9 years69-132%
5-29 days45-145%10-11 years66-136%
30-89 days62-134%12-13 years66-135%
90-179 days48-132%14-15 years61-129%
180-364 days55-127%16-17 years65-131%
1-5 years79-127%18 years and older62-140%
6 years63-116%

0030080Factor VII, Activity
AgeReference IntervalAgeReference Interval
1-4 days28-104%7-9 years67-145%
5-29 days35-143%10-11 years71-163%
30-89 days42-138%12-13 years78-160%
90-179 days39-143%14-15 years74-180%
180-364 days47-127%16-17 years63-163%
1-5 years55-116%18 years and older80-181%
6 years52-120%

0030105Factor X, Activity
AgeReference IntervalAgeReference Interval
1-4 days12-68%7-9 years74-130%
5-29 days19-79%10-11 years70-134%
30-89 days31-87%12-13 years69-133%
90-179 days35-107%14-15 years63-146%
180-364 days38-118%16-17 years74-146%
1-5 years58-116%18 years and older81-157%
6 years55-101%

2002819Factor XIII, Qualitative, with Reflex to Factor XIII 1:1 Mix
Test Number
Components
Reference Interval
Factor XIII, QualitativeNo Lysis within 24 hours
 Factor XIII, 1:1 MixRefer to report

0030130Fibrinogen150-430 mg/dL
0030135Fibrinogen Antigen149-353 mg/dL

Interpretive Data


Note
If Fibrinogen is low, Fibrinogen Antigen testing will be added. If lysis occurs in the Factor XIII Qualitative test, a 1:1 mix is added.
CPT Code(s)
85610; 85730; 85210; 85220; 85230; 85260; 85291; if reflexed, additional CPT codes may apply: 85291; 85384; 85385
Components
Component Test Code*Component Chart NameLOINC
0030007Factor II, Activity (Prothrombin)3289-6
0030075Factor V, Activity3193-0
0030080Factor VII, Activity3198-9
0030105Factor X, Activity3218-5
0030130Fibrinogen3255-7
0030220Prothrombin Time5902-2
0030235Partial Thromboplastin Time14979-9
2002818Factor XIII, 1:1 Mix3241-7
2002915Factor XIII, Qualitative3241-7
* 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
  • F 13 1:1
  • F10
  • F2
  • F5
  • Factor 13
  • Factor II, Activity (Prothrombin)
  • Factor V, Activity’ F7
  • Factor VII, Activity
  • Factor X, Activity
  • Factor XIII, 1:1 Mix
  • Factor XIII, Qualitative
  • Fibrinogen
  • Partial Thromboplastin Time
  • Prothrombin Time
  • PT
  • PTT