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Test Code MIXINGSTDY Mixing Study

Additional Codes

St. Luke's Compendium Code (Iatric): L901.1990

Performing Laboratory

Essentia Health Duluth  Laboratory

Methodology

Photo-Optical

Specimen Requirements

Must arrive at Essentia Health Duluth within 2 hours of collection. Only performed Monday-Friday on day shift.

 

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. Double spin sample for platelet poor plasma and freeze.

Reference Values

Interpretive report from Essentia Health will be provided.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

85610 or 85730 dependent on whether the protime or partial thromboplastin level is abnormal.