Ordering Recommendation

Acceptable panel to detect the two most common inherited thrombophilias (prothrombin related and factor V Leiden related).

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Lavender (EDTA), pink (K2EDTA) or yellow (ACD solution A or B).

Specimen Preparation

Transport 4 mL whole blood. (Min: 3 mL)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Plasma or serum; collection of specimen in sodium heparin tubes. Frozen specimens in glass collection tubes.

Remarks
Stability

Ambient: 72 hours; Refrigerated: 1 week; Frozen: 1 month.

Methodology

Polymerase Chain Reaction (PCR)
Fluorescence Monitoring

Performed

Sun-Sat

Reported

2-6 days

Reference Interval

Interpretive Data

Refer to report

Compliance Category

Laboratory Developed Test (LDT)

Note

Hotline History

N/A

CPT Codes

81240; 81241; 81291

Components

Component Test Code* Component Chart Name LOINC
* 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

  • FVL R506Q, MTHFR, and Factor II mutation panel
  • Hypercoag
  • Hypercoagulable Panel
Thrombotic Risk, DNA Panel