Test Code LAB91019 Lupus Anticoagulant Screen (OB)
Reporting Title
OB Lupus anticoagulant Screen
Methodology
Profile Information: | ||
Unit Codes | Published Name | Available Separately |
LAB320 | PT/INR | Yes |
LAB325 | APTT | Yes |
LAB90131 | StaClot (Lupus Anticoagulant) | Yes |
LAB90733 |
Beta-2 Glycoprotein 1 Antibodies, IgG |
Yes |
LAB90734 | Beta-2 Glycoprotein 1 Antibodies, IgM | Yes |
LAB319 |
Dilute Russell Viper Venom Time (DRVVT) (and confirmation if appropriate) |
Yes |
LAB464 |
Phospholipid Antibodies (Cardiolipin Antibodies) |
Yes
|
This panel should be ordered on patients presenting with thrombosis not clinically explained.
Performing Laboratory
OhioHealth Laboratory Services-RMH Campus and Mayo Medical Laboratory
Specimen Requirements
Serum and sodium citrate blood are required for these tests.
Beta-2 Glycoprotein 1 Antibodies, IgG, IgM
Gold Top SST or Red-Top tube
Blood or Plasma for DRVVT, PT/INR, APTT, and Hexagonal Phospholipid Neutralization (StaClot)
Submit only 1 of the following specimens:
Riverside Inpatients and Riverside Campus draw sites:
Testing must be performed within 4 hours of draw if submitting unprocessed whole blood.
Draw 3 full, light blue-top (citrate) tube; and send citrated whole blood. Invert several times to mix blood. Forward unprocessed whole blood promptly at ambient temperature only. Do not refrigerate.
Note: 1. This assay requires its own specimen.
2. Gross hemolysis, icterus, and lipemia may affect results.
3. Indicate whole blood on request form.
4. Label specimen appropriately (whole blood).
Outpatients/Outreach Clients
Plasma-Frozen
Draw 3 full, light blue-top (citrate) tube. Spin down, remove plasma, spin plasma again, and place 1 mL of citrated platelet-poor plasma into separate plastic vials. (Glass vial is not acceptable.) Pour-off vial should be no more than 2/3 full. Send specimen frozen.
Note: 1. This assay requires its own specimen.
2. Double-centrifuged specimen is critical for accurate results as platelet contamination may cause spurious
results.
3. Gross hemolysis, icterus, and lipemia may affect results.
4. Indicate plasma on request form.
5. Label specimen appropriately (plasma).
Serum or Plasma for Phospholipid Antibodies (Cardiolipin Antibodies)
Submit only 1 of the following specimens:
Serum
Draw blood in a gold-top or a speckled-top serum gel tube(s). (Hemolyzed or contaminated specimen is not acceptable.) Spin down immediately and send 1 mL of serum refrigerated.
Note:.
1. Plain, red-top tube(s) is also acceptable.
2. Label specimen appropriately (serum for phospholipid antibodies [cardiolipin antibodies]).
Plasma
Draw blood in a mint green-top (heparin) gel tube(s). (Hemolyzed or contaminated specimen is not acceptable.) Spin down immediately and send 1 mL of heparinized or EDTA plasma refrigerated.
Note: 1. Label specimen appropriately plasma for phospholipid antibodies [cardiolipin antibodies]).
Specimen Transport Temperature
Ambient/Refrigerate NO/Frozen NO-Blood
Frozen/Refrigerate NO/Ambient NO-Plasma
Refrigerate/Frozen OK/Ambient NO-Serum
Reference Values
BETA-2 GLYCOPROTEIN 1 ANTIBODIES, IgG, IgM
<10.0 U/mL (negative)
10.0-14.9 U/mL (borderline)
≥15.0 U/mL (positive)
See individual test listings for all other tests.
Day(s) Test Set Up
PT/INR, APTT, Monday through Sunday
Beta-2 Glycoprotein 1 Antibodies, IgG, IgM Daily 8:00 am
Dilute Russell Viper Venom Time (DRVVT): Monday through Friday
Phospholipid Antibodies (Cardiolipin Antibodies): Monday and Thursday
Hexagonal Phospholipid Neutralization (StaClot): Tuesday and Friday
Test Classification and CPT Coding
“Beta-2 Glycoprotein 1 Antibodies, IgG 86146
“Beta-2 Glycoprotein 1 Antibodies, IgM 86146
“Dilute Russell Viper Venom Time (DRVVT)” 85613 - DRVVT
85613 x 2 - DRVVT confirmation (if appropriate)
“Phospholipid Antibodies (Cardiolipin Antibodies)” 86147 x 3
PT/INR 85610
APTT 85730
Hexagonal Phospholipid Neutralization (StaClot) 85598