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Test Code LAB91028 Lupus Anticoagulation Evaluation Panel

Reporting Title

Lupus Anticoagulation Evaluation Panel

Methodology

Profile Information:
Unit Codes  Published Name  Available Separately
LAB330 PT/INR Yes
LAB90573 APTT Yes
LAB90131 StaClot (Lupus Anticoagulant) Yes

LAB90733

Beta-2 Glycoprotein 1 Antibodies, IgG

 Yes
LAB90734

Beta-2 Glycoprotein 1 Antibodies, IgM

 

LAB319

Dilute Russell Viper Venom Time (DRVVT) (and confirmation if appropriate)

Yes

LAB464

Phospholipid Antibodies (Cardiolipin Antibodies)

Yes

 

LAB326 APTT Mixing Study Yes
LAB321 PT Mixing Study Yes
LAB324 Thrombin Time Yes
LAB306 Factor 8 Assay Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      

               

Performing Laboratory

OhioHealth Laboratory Services-RMH Campus and Mayo Medical Laboratory

Specimen Requirements

Serum and sodium citrate blood and EDTA whole 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 8 full, light blue-top (citrate) tubes; 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. Patient should not be receiving heparin or Coumadin® therapy.

2. Gross hemolysis, lipemia, or icteric specimen may affect results.

3. Indicate whole blood on request form.

4. Label specimens appropriately (whole blood for DRVVT

 

Outpatients/Outreach Clients:

Plasma-Frozen

Draw 8 full, light blue-top (citrate) tubes. Spin down, remove plasma, spin plasma again, and place citrated platelet-poor plasma into 4 plastic vials each containing 1 mL. (Glass vial is not acceptable.) Pour-off vials should be no more than 2/3 full. Send specimen frozen.

Note:  1. Double-centrifuged specimen is critical for accurate results as platelet contamination may cause spurious results.

2. Patient should not be receiving heparin or Coumadin® therapy.

3. Gross hemolysis, lipemia, or icteric specimen may affect results.

4. Indicate plasma on request form.

5. Label specimens appropriately (plasma for DRVVT

 

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) or a lavender-top (EDTA) 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

APTT Mixing Study  Monday through Friday

PT Mixing Study   Monday through Friday

Thrombin time Monday through Sunday

Factor 8 Assay  Monday through Friday (after 2 p.m. and on Saturdays and Sundays performed on emergency basis only)

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 

APTT Mixing Study  85732

PT Mixing Study  85611

Thrombin Time   85670

Factor 8 Assay  85240