Test Code FIB Fibrinogen, Plasma
Additional Codes
- Expanse Test Name:Fibrinogen
- Medinet Ref Code:FIB
- OV Code:COAG*FIB
Performing Laboratory
St. Lukes Hospital Laboratory
Methodology
Photo-Optical
Specimen Requirements
Draw blood in a light blue-top (3.2% sodium citrate) tube(s),
and send 4.5 mL of sodium citrate whole blood. (Clotted or
visibly hemolyzed specimen, specimen drawn in wrong tube, or tube
that has less than expected fill is not acceptable.)
Note: 1. Mix 9 parts of freshly drawn blood with 1
part of 3.2% sodium citrate anticoagulant. Invert tube gently 3 to
4 times immediately after venipuncture to ensure proper mixing of
blood and anticoagulant.
2. If blood is drawn through an indwelling catheter, flush line
with 5 mL of saline. Discard first 5 mL of blood or 6 dead space
volumes of catheter, or use for other laboratory tests.
3. If blood is drawn with a butterfly set, a waste tube must be drawn to eliminate dead space of tubing to ensure adequate blood is drawn into coagulation tube.
4. 3.2% sodium citrate concentration must be adjusted in patients who have hematocrit values >55%.
5. If testing cannot be performed immediately, spin down, separate and refrigerate plasma in plastic vial. Plasma can be stored up to 72 hours at 4oC.
Reference Values
180-450 mg/dL
Interfering Substances:
Heparin level >1.0 USP units/mL and fibrin(ogen) degradation products >100 mcg/mL may interfere with testing.
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
CPT: 85384
LOINC: 3255-7