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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)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, Activity1-4 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, Activity1-4 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, Activity1-4 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, 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