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.
Specimen Required
Patient Preparation
Collect
Light 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, clotted or hemolyzed specimens.
Remarks
Stability
Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
Reference Interval
Test Number |
Components |
Reference Interval |
||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0030235 | Partial Thromboplastin Time | 24-35 seconds | ||||||||||||||||||||||||||||
0030215 | Prothrombin Time | 12.0-15.5 seconds | ||||||||||||||||||||||||||||
0030113 | Protein C, Functional | Effective November 17, 2014
|
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0098894 | Protein S Free, Antigen |
|
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0030010 | Antithrombin, Enzymatic (Activity) |
|
Interpretive Data
Refer to report.
Compliance Category
FDA
Note
Hotline History
N/A
CPT Codes
85610; 85730; 85303; 85306; 85300
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0030010 | Antithrombin, Enzymatic (Activity) | 27811-9 |
0030053 | Thrombosis Interpretation - Uncommon | 20991-6 |
0030113 | Protein C Functional | 27819-2 |
0030220 | Prothrombin Time | 5902-2 |
0030235 | Partial Thromboplastin Time | 14979-9 |
0098894 | Protein S Ag Free | 27821-8 |
* 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
Thrombotic Risk, Inherited Etiologies (Uncommon)