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Test Code TEG6S TEG 6S Citrated K, KH, RT, FF

Important Note

For internal ordering at Weston location only. Not available to outreach clients.

Useful For

Restricted and only available for ordering at the Weston campus.

 

Patients undergoing cardiovascular surgery for evaluating patient's baseline hemostasis and ability for clot formation; monitoring any residual heparin post protamine; and/or guiding goal-directed transfusion therapy when there is intraoperative or postoperative bleeding.

 

Note: LY30 not reported since it is not FDA cleared on this test cartridge. For patients fully heparinized on bypass, only the R-H parameter of the TEG6S is reported. Display of the other TEG6s parameters for patients on heparin is dependent on the dose and effect of heparin on the patient's hemostasis.

 

Please refer to the 'TEG Manager - Instructions for Access' for training and obtaining log-in information for remote viewing.

Synonyms/Keywords

TEG

Specimen Requirements

Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Whole Blood Citrated Blue Top Tube (BTT)   Full 3 mL tube N/A N/A

Collection/Processing Instructions

Do not use a needle smaller than a 21 gauge for collection.  Obtain appropriate volume of blood in first tube labeled DISCARD.  Obtain full tubes for sample specimens.  It is best to store tubes by laying them on their side, instead of standing them in a rack.

 

Do not centrifuge sample specimen.  Keep at room temperature.

 

For Weston orders - Deliver to lab immediately. Sample should arrive in lab within 15 minutes of collection.  Cannot be shared with other coagulation tests.

Specimen Stability Information

Specimen Type Temperature Time
Whole Blood Ambient 1 hour

Rejection Criteria

Sample greater than 2 hours
Improper tube
Clotted sample
Underfilled tubes
Mislabeled/unlabeled tubes
Centrifuged sample
2 mL Blue Top Tube
Refrigerated or frozen samples

Test Components

Kaolin TEG (R, K, Angle, MA), Kaolin TEG with Heparinase to neutralize heparin (RH), Functional Fibrinogen Maximum Amplitude (FFMA), and Rapid TEG (MA-RT)

Reference Range Information

Performing Location Reference Range
Weston
Result Code Reference Range Units
R-6S 
K-6S 
Ang-6S 
MA6S 
R-H6S 
FFMA6S 
MART6S 
4.6-9.1 
0.8-2.1 
63-78 
52.0-69.0 
4.3-8.3 
11.0-29.0 
52.0-70.0 
minutes
minutes
degrees
mm
minutes
mm
mm

Marshfield Labs Performing Department

Marshfield Labs Hematology

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Weston Sunday thru Saturday 1 hour TEG Viscoelastic Clot Assessment

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
85384     Pathology Fibrinogen; activity from Functional Fibrinogen  
85347     Pathology Coagulation time; activated  
85525     Pathology Heparin neutralization  

Ordering Applications

Ordering Application Description
COM TEG 6S Citrated K, KH, RT, FF