Factor 13, Qualitative, With Reflex to Factor 13 1:1 Mix
Ordering Recommendation
Most useful if severe FXIII deficiency is suspected (<1% of normal activity). Use to distinguish between FXIII deficiency and a FXIII inhibitor. Abnormal results should be confirmed with quantitative testing; refer to Factor XIII Activity (2006182).
New York DOH Approval Status
Specimen Required
Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Transfer 2 mL platelet-poor plasma to an ARUP standard transport tube. (Min: 1 mL)
CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Serum. EDTA plasma, clotted or hemolyzed specimens.
Ambient: 4 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
Methodology
Qualitative Solubility Assay
Performed
Sun-Sat
Reported
2-3 days
Reference Interval
Test Number |
Components |
Reference Interval |
---|---|---|
Factor XIII, Qualitative | No Lysis within 24 hours |
Interpretive Data
Standard
Note
This is a qualitative screening test; clot lysis only occurs in specimens with severe factor XIII deficiency (less than 1 percent of normal activity). Severe deficiency may be inherited or acquired (typically due to a factor XIII antibody). If clot lysis occurs in the initial testing, then Factor XIII 1:1 Mix will be added where the test is repeated using a 1:1 mix of patient plasma and pooled normal plasma to distinguish between FXIII deficiency and a FXIII inhibitor. Additional charges apply.
False-positive results (lysis) can be caused by heparin (therapy with unfractionated or low molecular weight heparin or contamination from a line), decreased or abnormal fibrinogen, increased fibrinolysis (inherited or acquired fibrinolytic disorders), fibrinolytic drugs, or other factors that affect clot structure or stability.
Hotline History
Hotline History
CPT Codes
85291; if reflexed, add 85291
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
2002915 | Factor XIII, Qualitative | 3241-7 |
Aliases
- Clot Solubility
- F13
- Factor 13
- Factor XIII
- Fibrin Stabilizing Factor
- FXIII