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Fibrinogen: (089-0038)

Clinical Indication:

 Measures levels of fibrinogen and is a useful test in diagnosis of DIC.

Test Mnemonic:

 FIBRINOGEN

Methodology:

 Electromagnetic Viscosity Detection

Performed:

 Accepted 24 hours/day at Sample Management, Room 5.136 McCullough.

Turnaround Time:

 STAT: 1 hour; ROUTINE: 4 hours

Specimen Requirements:

Collect: Routine venipuncture; discard 1st mL of blood or collect other tubes (EDTA, red-topped) prior to collecting sample in blue-topped (3.2% sodium-citrate) tube.

Specimen Preparation:  Samples should be received in laboratory within ½ hour of draw for best results.  Acceptable up to 4 hours after draw, at ROOM TEMPERATURE.

Specimen: Blood

Volume: 2.7ml

Minimum Volume: Call Lab

Storage/Transport:NOTE:  If delivery time is to be greater than 4 hours from time of draw, centrifuge the specimen for 15 minutes at 2000-2500g, separate the plasma from the cells and snap freeze (-200C) the plasma.

Stability: Plasma storage: 8 hrs at 20 +/- 50C.   2 weeks at -200C.   Whole Blood 4 hrs. at room temp.

Causes for Rejection: QNS, clotted, severely hemolyzed specimen, specimen greater than 4 hours old, wrong tube (3.8% sodium citrate), high hematocrit (> 55%), identification error, sample processed/transported, and/or stored improperly.

Clinical Information:

Critical Value: < 100 mg/dL

Interfering Substances:  Highly elevated FDP’s

Reference Range:

 214 - 470 mg/dL

CPT 4 Code:

 85384

Reviewed: 3-27-2012 M. Abad, MLS (ASCP)CM, SH

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

 

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