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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