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Test Code PTT. PARTIAL THROMBOPLASTIN TIME

Additional Codes

APTT

PTTA

Methodology

Automated Coagulation Analyzer

Specimen Requirements

Plasma

Container/Tube: Blue top tube (buffered sodium citrate)

Specimen Volume: Full Tube to appropriate line

Collection:

  1. PTT specimens from non heparinized patients can be centrifuged (centrifuge specimens for 10 min at 3500 rpm) or un-centrifuged with plasma remaining on top of cells in an unopened tube, kept at ROOM TEMPERATURE (18-24 Celsius) for no longer than 4 hours.
  2. PTT specimens from patients on unfractionated heparin therapy should be centrifuged and the plasma removed from the cells within 1 hour of collection and kept at Room Temperature or 2-8 Celsius and tested within 4 hours of collection.
  3. If testing cannot be performed within these times, platelet-poor plasma should be removed form the cells and frozen at -20 Celsius for up to 2 weeks or at -70 Celsius for up to 12 months.
  4. Properly label tube with patients name, DOB, requisition number and if plasma has been separated; type of tube sample drawn from, i.e. BLUE.

Specimen Transport/Stability

Room Temp -  (18-24 Celsius) 4 hours

Frozen - (-20 Celsius) 14 days if platelet poor plasma has been separated from cells

Frozen - (-70 Celsius) 12 months if platelet poor plasma has been separated from cells

Specimen Rejection

  • Clotted
  • Hemolyzed
  • Exceed stability requirements
  • Under or over filled tube
  • Unlabeled specimen
  • Age of specimen greater than 4 hours

Maximum Laboratory Time

24 hours

 

Reference Ranges

PTT          sec       
Newborn        24 - 50
3 mos        25 - 38
17 yrs        23.5 - 31.9

CRITICAL VALUE: REFER TO LH-W CRITICAL VALUES POLICY

In heparinized patients, the PTT should be maintianed at  1.5 - 2.0 times the            patient's pretreatment level.                              

 

Day(s) Test Set Up

Daily

Test Classification and CPT Coding

85730