Test Code DIC DIC Profile
Synonyms/Keywords
DIC, Disseminated Intravascular Coag. Profile
Specimen Requirements
See "Collection and Processing Instructions" section for Specimen Requirements
Collection/Processing Instructions
This test requires three samples:
1. 1.0 mL 3.2% citrated plasma - blue top tube, (BTT) used for PT, APTT, and FIB.
2. 1.0 mL 3.2% citrated platelet poor plasma - blue top tube, (BTT) used for D-dimer.
3. 2.0 mL EDTA whole blood - lavender top tube, (LTT) used for platelet determination.
Minimum volume:
1. 1.0 mL 3.2% citrated plasma - blue top tube, (BTT)
2. 0.5 mL 3.2% citrated platelet poor plasma - blue top tube, (BTT)
3. 1.0 mL EDTA whole blood - lavender top tube, (LTT) and 2 unfixed smears
Processing Instructions:
Blue top tubes:
- Must be drawn to the fill line.
- Invert tubes completely 3-4 times to mix.
- Do not shake.
First blue top tube:
- Centrifuge at 3000 rpm for 10 minutes with the brake OFF as soon as possible after collection.
- Perform testing within one hour of sample collection or separate citrated plasma for storage.
- Use plastic pipette to transfer top half of plasma to polypropylene tube.
- Avoid platelet contamination.
- Cap tightly.
Second blue top tube:
EDTA lavender top tube:
- Test should be performed within 24 hours of collection.
- If not performed within 4 hours of collection, two smears should be prepared immediately for use in confirming abnormal counts.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Citrated Whole Blood | Ambient | 4 hours |
| Citrated Plasma | Frozen (-18C) | 2 weeks |
| Frozen (-70C) | 6 months | |
| Thawed frozen | 2 hours | |
| EDTA whole blood | Ambient | < 12 hours |
| Refrigerate | < 24 hours | |
| Unfixed blood smears | Ambient |
Rejection Criteria
| BTT <90% full |
|---|
| Clotted samples |
| Frozen whole blood |
| Known IV fluid or Hickman line fluid contamination |
| Gross hemolysis |
|
Specimens with abnormal PT and/or APTT results that have a Hct >55% that have not had the citrate anticoagulant adjusted |
Test Components
PT, aPTT, Fibrinogen, D-dimer, Platelet count
Test Information
Moderate hemolysis does not interfere with sample analysis, however it may be an indicator of clotting factor activation prior to testing. Clinical correlation with results recommended.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| All Performing Sites | See individual test listings for reference ranges. |
Marshfield Labs Performing Department
Marshfield Labs Hematology
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Weston | PT(INR), aPTT, Fibrinogen: Monday through Sunday | Less than 2 hours | Optical Clot Detection/Sysmex CS 2500 |
| D-dimer: Monday through Sunday | Less than 2 hours | Immunoassay/Sysmex CS 2500 | |
| Platelet count: Monday through Sunday | Less than 2 hours | Electrical Impediance/Beckman Coulter DxH600 and Light Microscopy | |
| Eau Claire | PT(INR), aPTT, Fibrinogen: Monday through Sunday | Less than 2 hours | Optical Clot Detection/Sysmex CS 2500 |
| D-dimer: Monday through Sunday | Less than 2 hours | Immunoassay/Sysmex CS 2500 | |
| Platelet count: Monday through Sunday | Less than 2 hours | Electrical Impediance/Beckman Coulter DxH600 and Light Microscopy | |
| Park Falls | PT(INR), aPTT, Fibrinogen: Monday through Sunday | Less than 2 hours | Optical Clot Detection/Sysmex CS 2500 |
| D-dimer: Monday through Sunday | Less than 2 hours | Immunoassay/Sysmex CS 2500 | |
| Platelet count: Monday through Sunday | Less than 2 hours | Electrical Impediance/Beckman Coulter DxH600 and Light Microscopy | |
| Lakeview Medical Center | PT(INR), aPTT, Fibrinogen: Monday through Sunday | Less than 2 hours | Optical Clot Detection/Sysmex CS 2500 |
| D-dimer: Monday through Sunday | Less than 2 hours | Immunoassay/Sysmex CS 2500 | |
| Platelet count: Monday through Sunday | Less than 2 hours | Electrical Impediance/Beckman Coulter DxH600 and Light Microscopy | |
| Marshfield | PT(INR), aPTT, Fibrinogen: Monday through Sunday | Less than 2 hours | Optical Clot Detection/Sysmex CS 2500 |
| D-dimer: Monday through Sunday | Less than 2 hours | Immunoassay/Sysmex CS 2500 | |
| Platelet count: Monday through Sunday | Less than 2 hours | Unicel Beckman Coulter DxH800 and Light Microscopy. | |
| Minocqua | PT(INR), aPTT, Fibrinogen: Monday through Sunday | Less than 2 hours | Optical Clot Detection/Sysmex CS 2500 |
| D-dimer: Monday through Sunday | Less than 2 hours | Immunoassay/Sysmex CS 2500 | |
| Platelet count: Monday through Sunday | Less than 2 hours | Electical Impediance/Beckman Coulter DxH600 and Light Microscopy |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 85610 | PT(INR) | |||
| 85730 | APTT | |||
| 85384 | Fibrinogen | |||
| 85379 | D-dimer | |||
| 85049 | Platelet count |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 85610 | PT(INR) | |||
| 85730 | APTT | |||
| 85384 | Fibrinogen | |||
| 85379 | D-dimer | |||
| 85049 | Platelet count |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Centricity |
a. DIC b. DIC Panel |
| Cerner | DIC Profile |
| COM | DIC Profile |