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.