Bleeding Disorders (Uncommon) with Reflex to Factor XIII 1:1 Mix and/or Fibrinogen Antigen
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.
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 Time 12.0-​15.5 seconds
0030235Partial Thromboplastin Time 24-​35 seconds
0030007Factor II, Activity (Prothrombin) 1-​4 days: 26-​70%
5-​29 days: 33-​93%
30-​89 days: 34-​102%
90-​179 days: 45-​105%
180-​364 days: 60-​116%
1-​5 years: 71-​116%
6 years: 67-​107%
7-​9 years: 78-​125%
10-​11 years: 78-​120%
12-​13 years: 72-​123%
14-​15 years: 75-​135%
16-​17 years: 77-​130%
18 years and older: 86-​150%
0030075Factor V, Activity 1-​4 days: 36-​108%
5-​29 days: 45-​145%
30-​89 days: 62-​134%
90-​179 days: 48-​132%
180-​364 days: 55-​127%
1-​5 years: 79-​127%
6 years: 63-​116%
7-​9 years: 69-​132%
10-​11 years: 66-​136%
12-​13 years: 66-​135%
14-​15 years: 61-​129%
16-​17 years: 65-​131%
18 years and older: 62-​140%
0030080Factor VII, Activity 1-​4 days: 28-​104%
5-​29 days: 35-​143%
30-​89 days: 42-​138%
90-​179 days: 39-​143%
180-​364 days: 47-​127%
1-​5 years: 55-​116%
6 years: 52-​120%
7-​9 years: 67-​145%
10-​11 years: 71-​163%
12-​13 years: 78-​160%
14-​15 years: 74-​180%
16-​17 years: 63-​163%
18 years and older: 80-​181%
0030105Factor X, Activity 1-​4 days: 12-​68%
5-​29 days: 19-​79%
30-​89 days: 31-​87%
90-​179 days: 35-​107%
180-​364 days: 38-​118%
1-​5 years: 58-​116%
6 years: 55-​101%
7-​9 years: 74-​130%
10-​11 years: 70-​134%
12-​13 years: 69-​133%
14-​15 years: 63-​146%
16-​17 years: 74-​146%
18 years and older: 81-​157%
2002819Factor XIII, Qualitative, with Reflex to Factor XIII 1:1 Mix
Test Number Components Reference Interval
Factor XIII, Qualitative No Lysis within 24 hours
Factor XIII, 1:1 Mix Refer to report
0030130Fibrinogen 150-​430 mg/dL
0030135Fibrinogen Antigen 149-​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 Name
0030007Factor II, Activity (Prothrombin)
0030075Factor V, Activity
0030080Factor VII, Activity
0030105Factor X, Activity
0030130Fibrinogen
0030220Prothrombin Time
0030235Partial Thromboplastin Time
2002818Factor XIII, 1:1 Mix
2002915Factor XIII, Qualitative
* 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
  • 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