DISSEMINATED INTRAVASCULAR COAGULATION (DIC) PROFILE

Index:

Order Name DIC PR
Test Number: 1500855
Revision Date 08/26/2014

Test Name	Methodology	LOINC Code
Prothrombin Time (PT) and INR
Activated Partial Thromboplastin Time (aPTT)	Clot Detection	3184-9
Fibrinogen	Clot Detection	3255-7
D-Dimer, Quantitative	Latex Immunoassay Agglutination	48065-7
Immature Platelet Fraction	Flow cytometry	71693-6
Reticulocyte (Retic) Count	Flow cytometry
Platelet Count (for coagulation interpretation)

SPECIMEN REQUIREMENTS
Specimen	Specimen Volume (min)	Specimen Type	Specimen Container	Transport Environment
Preferred	See Instructions	See Special Instructions	Sodium Citrate 3.2% (Blue Top) and EDTA (Lavender Top)	See Instructions
Instructions	Coagulation- Two: 2.7mL Sodium Citrate 3.2% (Blue Top) Tubes. (Ambient whole blood or frozen aliquots.) Please indicate anticoagulant therapy. 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! Specimen Stability: Un-Frozen specimens are only good for 4 hours. Hematology- One: 4mL (1mL) EDTA (Lavender Top) Whole Blood (Room Temperature) Note: IPF level will not be reported on specimens > 24hrs old.

SPECIMEN REQUIREMENTS

Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

See Instructions

See Special Instructions

Sodium Citrate 3.2% (Blue Top) and EDTA (Lavender Top)

See Instructions

Instructions

Coagulation-
Two: 2.7mL Sodium Citrate 3.2% (Blue Top) Tubes. (Ambient whole blood or frozen aliquots.)

Please indicate anticoagulant therapy.
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! Specimen Stability: Un-Frozen specimens are only good for 4 hours.

Hematology-
One: 4mL (1mL) EDTA (Lavender Top) Whole Blood (Room Temperature)
Note: IPF level will not be reported on specimens > 24hrs old.

GENERAL INFORMATION
Expected TAT	1 Day
CPT Code(s)	85055, 85045, 85049, 85379, 85384, 85610, 85730
Lab Section	Coagulation