Test Code INMIX Inhibitor Screen, Plasma
Additional Codes
LAB478
Specimen Required
Container Type: |
Optimal: 2- 1.8 mL light blue top tubes Acceptable: 2- 2.7 mL solid blue top tubes |
Optimal Collection Volume: |
3.6 mL whole blood Tube must be filled to proper level as indicated by opaque line etched on each blue top tube. |
Collection Instructions: |
1. Do not draw from an arm with a heparin lock. 2. If collected through a blood collection set (butterfly), 3. Gently invert 5 to 10 times to mix blood. 4. Causes for rejection include tube under filled, clotted specimen, or sample not processed and frozen within 4 hours of collection. |
Processing Instructions: |
1. Centrifuge samples in a centrifuge verifed to produce platelet poor plasma. 2. Remove plasma using platelet poor plasma technique. 3. Aliquot each blue top tube into its own vial. Do not pool. 4. Platelet poor plasma must be processed and frozen with 4 hours of collection. |
Useful For
- Confirming or excluding the presence of lupus anticoagulant
- Distinguishing lupus anticoagulants from specific coagulation factor inhibitors and nonspecific inhibitors
- Investigating a prolonged activated thromboplastin time, especially when combined with other coagulation studies
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
PTI | Prothrombin Time | Yes | Yes |
PTTI | Activated Partial Thromboplastin Time | Yes | Yes |
TTIMI | Thrombin Time | No |
Yes |
UFHXA | Unfractionated Heparin Anti-Xa | Yes | Yes |
LATEST | Dilute Russell Vipor Venom Time (DRVVT)Screen | No | No |
DTIME | DRVVT Confirm (with additional phospholipid)) | No | No |
RATIO | DRVVT Screen/ Confirm Ratio | No | No |
LATSTM | DRVVT Screen Mix | No | No |
DTIMEM | DRVVT Confirm Mix | No | No |
RATIOM | DRVVT Screen Mix/Confirm Mix Ratio | No | No |
RATIO | DRVVT Screen/ Confirm Ratio | No | No |
SCTS | Silica Clotting Time (SCT) Screen | No | Yes |
SCTC | Silica Clotting Time (SCT) Confirm | No | No |
SCTR | SCT Screen/Confirm Ratio | No | No |
SCTSM | SCT Screen Mix | No | No |
SCTCM | SCT Confirmation Mix | No | No |
SCTMR | SCT Screen Mix/Confirm Mix Ratio | No | No |
MXINT | Mixing Study Interpretation by Pathologist | No | Yes |
DVINT | Inhibitor Path Interpretation by Pathologist | No | Yes |
Method Name
Clot based assay performed on IL ACL Top 500
Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Plasma | Frozen within 4 hours of draw time (-20 C) | 2 weeks |
Rejection Due To
Hemolysis | Mild OK; Moderate OK; Gross Reject |
Lipemia | Mild OK; Moderate OK; Gross Reject |
Icterus | Mild OK; Moderate OK; Gross Reject |
Other |
Clotted: Reject Sample not filled to line: Reject |
Specimen Minimum Volume
Collecting minimum volumes can result in a need for sample recollection, and/or a delay in results. Minimum volumes are subjective and cannot account for all aspects of specimen and testing needs. Refer to the Specimen Required section for optimal volumes for laboratory specimens. Contact the Bronson Laboratory if complex collection exceptions occur that require more information.
Minimum Volume: | Tube must be filled to line. 3.6 mL whole blood in 2 light blue top tubes. |
Neonate Volume: | Tube must be filled to line. 3.6 mL whole blood in 2 light blue top tubes. |
Day(s) Performed
Monday, Wednesday, Friday: Day shift
Reference Values
Test ID | Reference Range | Units |
---|---|---|
PTI | 10.5-13.0 | seconds |
PTTI | 25-37 | seconds |
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
PTI | Prothrombin Time | 5902-2 |
PTTI | Activated Partial Thromboplastin Time | 14979-9 |
CPT Code Information
Test ID | Test Order Name | CPT Code |
---|---|---|
PTI | Prothrombin Time | 85610 |
PTTI | Activated Partial Thromboplastin Time | 85730 |
TTIMI | Thrombin Time | 85670 |
UFHXA | Unfractionated Heparin Anti-Xa | 85520 |
PTTH | APTT with Protamine Sulfate for Heparin Neutralization | 85525 |
LATEST | DRVVT Screen | 85613 |
DTIME | DRVVT Confirm | 85613 |
MXINT | Mixing Study Interp | 85390-26 |
DVINT | Inhibitor Path Interp | 85390-26 |
Sample Retention Time
Frozen aliquots are kept for 1 month.
Performing Laboratory
Bronson Laboratory, Coagulation - Kalamazoo