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Labcorp Oklahoma, Inc.
Test Directory


Index:

Hypercoagulation Analyzer

Order Name HYPRCOAGAN
Test Number: 1506500
Revision Date 02/27/2023
Test Name Methodology LOINC Code
Hypercoagulation Analyzer
 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred See Instructions See Instructions See Special Instructions See Instructions
Instructions Due to the national shortage of 3.2% sodium citrate blue top tubes - Note change in tubes to collect.
Please list the patient's anticoagulant on the "Coagulopathy Questionnaire Form" and submit with specimen or fax to 918-744-3236.
Please Collect the following tubes:
Seven (2.7mL) 3.2% Sodium Citrate (Blue Top) tubes, (Double Spin and Freeze Aliquots if not tested w/in 4 hours)
Two (4.7mL) EDTA (Lavender Top) tubes, (Keep Whole Blood)
One (10mL) Clot Activator SST (Red/Gray Top) tube.
Each 2.7mL Sodium Citrate 3.2% (Blue Top) tube must be filled to the proper level, no hemolysis. Improperly filled tubes can give erroneous results.
Whole blood must be transported to lab immediately.
If testing cannot be started within 4 hours of collection the specimen must be double spun then 1.5mL plasma aliquot from each tube into individual plastic aliquot tubes and freeze. 
Do not pool aliquots together!

A fasting specimen is preferred but Not required.


Coagulopathy Questionnaire Form
Double Spin Procedure
GENERAL INFORMATION
Testing Schedule Mon - Fri 
Expected TAT Testing dependent  
Clinical Use A comprehensive algorithm used to assess the cause of hypercoagulability.
Not recommended when patients are taking Pradaxa®, Xarelto® and Apixaban®  See More Information.
Algorithm begins with an Activated Protein C Resistance, Lupus sensitive PTT, Prothrombin time (PT), Prothrombin Gene Mutation, and a Partical Thromboplastin Time (PTT). Further testing is generated based on the results of these tests. A pathology interpretation is included with all orders. 
CPT Code(s)

Initial Testing

Test Name CPT Codes
Activated Protein C Resistance 85307
Cardiolipin G/M 86147x2
LA-PTT 85705
Pathologist Interpretation 80503
Prothombin Gene Mutation (Factor II Mutation Analysis) 81240
PT 85610
PTT 85730
DRVVT Screen 85613
DRVVT Mix 85613
DRVVT Confirm 85613
Beta 2 Glycoprotein IgG/IgM 86146x2
 

Possible Additional Testing

Test Name CPT Codes
Antithrombin 3 85300
Antithrombin Antigen 85301
Factor 11 (XI) 85270
Factor 5 (V) Leiden 81241
Factor 8 (VIII) 85240
Factor 9 (IX) 85250
Free Protein S 85306
Functional Protein C 85303
Functional Protein S 85306
Hepzyme 85525
Hexagonal Phase Phospholipid 85598
Homocysteine 83090
Mix PT 85611x2
Mix PTT 85732x2
Mix PTT-La 85732x2
Protein C Antigen 85302
Protein S Antigen 85305
Thrombin Time 85670
Lab Section Coagulation