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Labcorp Oklahoma, Inc.
Test Directory


Index:

Lupus Anticoagulant Analyzer

Order Name LUP ANT AN
Test Number: 1506300
Revision Date 02/27/2023
Test Name Methodology LOINC Code
Activated Partial Thromboplastin Time (aPTT)
Clot Detection 3184-9 
Beta-2-Glycoprotein IgG and IgM Antibody
Chemiluminescence Assay See Panel Details 
Cardiolipin Antibodies, IgM and IgG
Chemiluminescence Assay See Panel Details 
Dilute Russell Viper Venom (DRVVT) Profile
Assay Dependant See Panel Details 
Lupus Anticoagulant PTT
 
Prothrombin Time (PT) and INR
 
Pathology Report
 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred See Instructions See Instructions Sodium Citrate 3.2% (Blue Top) and Clot Activator SST 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 both Serum and Plasma as indicated below:
Seven: 2.7mL Sodium Citrate Blue top tubes    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!
One: 5mL Clot Activator SST  Centrifuge and Refrigerate the serum tube.
(Serum specimen must be drawn within 72 hours of other specimens if not collected at the same time.)

Coagulopathy Questionnaire Form
Double Spin Procedure
GENERAL INFORMATION
Testing Schedule Individual Test Dependant 
Expected TAT 5 Days  
Clinical Use This analyzer is designed to evaluate patients in whom there is a clinical suspicion of a lupus anticoagulant or clinical features of the anti-phospholipid syndrome (e.g. thrombocytopenia, thrombosis, recurrent abortion).
Not recommended when patients are taking Pradaxa®, Xarelto® and Apixaban® See More Information.
The algorithm begins with a Prothrombin Time (PT/INR), Partial Thromboplastin time (PTT), Lupus Sensitive PTT, Dilute Russell Viper Venom Panel, Beta 2 Glycoprotein IgG/IgM Antibodies and Cardiolipin IgG/IgM testing. Subsequent tests are generated based on the results of this first level of testing. A pathology interpretation is included with all orders. 
CPT Code(s)

Initial Testing

Test Name CPT Codes
Beta 2 Glycoprotein IgG/IgM 86146 x2
Cardiolipin G/M 86147 x2
DRVVT Screen 85613
LA-PTT 85705
PT 85610
PTT 85730
Pathology Interpretation 80503
 

Possible Additional Testing

Test Name CPT Codes
DRVVT Mix 85613
DRVVT Confirm 85613
Factor 10 85260
Factor 11 85270
Factor 12 85280
Factor 2 85210
Factor 5 85220
Factor 8 85240
Factor 9 85250
Fibrinogen 85384
Hexagonal Phase Phospholipid 85598
Mix PT 85611 x2
Mix PTT 85732 x2
Mix PTT-La 85732 x2
Quantitative D-Dimer 85379
Hepzyme (heparin neutralizationc charge) 85525
Lab Section Coagulation