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