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Test Code ANTLUP Lupus Anticoagulant Profile

Additional Codes

PathLab ANTLUP
Epic ID LAB2591

 

Specimen Requirements

Preferred Collection Container: 

Light Blue (Citrate) - Two tubes

 

Collection Information: 

1. Two (2.7 mL blood in a 3.0 mL) light blue top (Na Citrate) tubes. Minimum: One (2.7 mL blood in a 3.0 mL tube). 3.2% buffered sodium citrate is the only acceptable anticoagulant concentration for this testing.

2. Spin down, remove plasma, spin plasma again, and place 1.5 mL of platelet-poor plasma into 2-3 plastic vials. Each vial must contain 1.5 mL. (Glass vial is not acceptable.)

3. Double-centrifuged specimens are critical for accuracy as platelet contamination may cause spurious results.
 

4. Place into 2-3 separate plastic vials, each containing 1.5 mL of double spun plasma. Minimum 1.5 mL plasma is needed. (.75 mL in 2 vials).


5. Freeze specimens immediately at ≤ -40° C.

 

Remarks: 

Note: Patient should not be receiving Coumadin, unfractionated heparin, direct thrombin inhibitors, or low molecular weight heparin.

Stability/Transport

Temperature Stability Preferred Transport
Refrigerated 4 hours  
Frozen 14 days X
Room Temp 4 hours  

 

Performing Lab

Pathology Laboratory

Testing Algorithm

-Initial testing includes: Staclot dRVV Screen Ratio (normal plasma) and PTT-LA.

-If the Staclot dRVV Screen Ratio and the PTT-LA are normal, no further testing is performed and a Pathologist Interpretation will be provided.

-If the Staclot dRVV Screen Ratio is ≥ 1.30, Staclot dRVV Screen mix will be performed.

-If PTT-LA is ≥ 45.6 seconds, PTT-LA mix will be performed.

-If the Staclot dRVV Screen mix is ≥ 1.30, Staclot dRVV Confirm will be performed.

-If PTT-LA mix is ≥ 45.6 seconds, Staclot LA will be performed.

-A Thrombin Time (TT) is included to rule out Heparin interference.

-All results will be reviewed by a Pathologist and an interpretation will be provided.

Day(s) Performed

Monday, Wednesday, Friday

CPT Code Information

85613 - DRVVT Mix and Confirm

85730 - APTT