Test code: 461
CPT code(s): 85384
Clinical Significance: Fibrinogen is essential for the formation of a blood clot. Deficiency can produce mile to severe bleeding disorders.
Alternative Name(s): Not applicable
Supply: T04 - Light Blue 2.7mL
Preferred Specimen: One Full Unopened 3.2% Sodium Citrate (Light Blue-Top) Tube
Preferred Volume: 2.7mL
A completely filled tube is necessary because the correct ratio of blood to citrate is critical (9:1). Mix by gentle inversion 3-4 times. Do not uncap.
Instructions: a completely filled tube is necessary because the correct ratio of blood to citrate is critical (9:1). Mix by gentle inversion 5-10 times. Do not uncap. Minimum Volume Ratio of blood to citrate is critical.
Coagulation specimen collection requirements:
A light-blue top tube (containing 3.2% sodium citrate) that will be used for coagulation testing must be filled to completion. Please see the attached BD guides for instructions. Under-filling the tube changes the ratio of blood to anticoagulant additive. The under-filled tube will be considered an improper specimen.
Specimen must reach the band etched into the tube – it is critical that that band is reached by the specimen. The position of the label and any markings on it are immaterial – that etched band is the goal.
If a winged blood collection device (butterfly) is used to collect a light-blue top tube for coagulation studies, a waste tube must be drawn first. The waste tube must also be a light-blue top tube or a tube that contains no additives. This waste tube is drawn first to remove the air in the tubing of the winged collection device. Once blood flows through the tubing, the waste tube can be removed and discarded. The waste tube does not need to be completely filled. If the air is not displaced from the tubing into a waste tube, it will be drawn into the specimen tube and cause a short-fill of the tube. Less volume of blood in the tube alters the required blood-to-anticoagulant ratio needed for coagulation studies. The under-filled tube will be considered an improper specimen.
Expired tubes lose their vacuum and will not pull enough blood into the tube for the correct blood-to-anticoagulant ration. The under-filled tube will be considered an improper specimen.
Transport Container: 3.2% Sodium Citrate (Light Blue-Top) Tube
Transport Temperature: Room Temperature
Specimen Stability: Room Temperature: 72 Hours - if sample is unspun and vacuum is intact
Reject Criteria: Hemolysis, Clotted, Quantity not sufficient, Out of stability
For additional supply or collection device information, please contact DLO's Customer Service at (800) 891-2917, option 2.
The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed.