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Test Code LAB17888 THROMBELASTOGRAPH

Important Note

UVMMC: This test must be collected at the Main Campus, 111 Colchester Avenue, Burlington, VT.


Phlebotomy or Operating Room collections require a separate blue top tube for testing:  Samples are drawn through a 19-21 gauge butterfly needle. Collect a discard tube of 3 mL of blood prior to collection of the blue top tube. Keep blue top tube capped and at ambient temperature, do not spin. Collection time must be documented on the tube.

Additional Codes

Orderable Codes:

Epic Code Atlas Code (not ord) Mayo Access ID Order LOINC
LAB17888 LAB17888 N/A 107576-1

Result Component(s):

Reporting Name Epic Code Atlas Code MA ID Result LOINC
Reaction Time 12301021327 12301021327 N/A 52789-5
Max Amplitude 12301021328 12301021328 N/A 52778-8
Reaction Time - Heparinase 12301021329 12301021329 N/A 66756-8
LY30 Lysis - Heparinase 12301021330 12301021330 N/A in process
Max Amplitude - Heparinase 12301021331 12301021331 N/A 66755-0
Max Amplitude - Functional Fibrinogen Heparinase 12301021332 12301021332 N/A 69049-5

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
Blue Top Tube Whole Blood Ambient 3.5 mL To fill line 3.5 mL 3.5 mL 2 hours

The sample must be collected at the Main Campus. This test requires a separate blue top collected just for this test. Testing must begin within 2-hours. Samples are drawn through a 19-21 gauge butterfly needle. Collect a discard tube of 3 mL of blood prior to collection of the blue top tube. Keep Blue Top tube capped and at ambient temperature, do not spin. Collection time must be documented on the tube.

 

ACCEPTABLE COLLECTION TUBES

 

 

 

 

 

 

 

 

 

 

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Not available STAT

Method

Thromboelastograph

Instrumentation

TEG6S

Reference Range

See report

Section

Coagulation

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

CPT Code(s)

Description CPT Code
Activated Coagulation time 85347 x2
Fibrinogen Activity 85384 ×2
Fibrinolysis or Coagulopathy Screen 85390
Platelet Aggregation 85576 x2