Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

ASPIRIN, VERIFY NOW

ORDERING INFORMATION:
Sunquest Test Code:
PFASA      Geisinger Epic Procedure Code: PFASA         Geisinger Epic ID: 43808

SPECIMEN COLLECTION
Specimen type:
Whole blood
Preferred collection container:
Alternate Collection Container:
2.7 mL blue-top (3.2% sodium citrate) tube
Specimen required:
Whole blood in 2 mL Greiner blue-top tube
Special notes:
Do not spin whole blood. Do not place tube in tube system. This is a regular outer diameter draw tube and can be used with other Becton-Dickinson collections. Draw order should be maintained, draw this tube prior to any other anticoagulant or additive tubes. Do Not Refrigerate or freeze tube. Specimen stable for only 4 hours. If drawing Verify Now Plavix analysis, specimen needs to be drawn in separate tube.

SPECIMEN PROCESSING
Specimen processing instructions:
If drawing Verify Now Plavix (PFPLAV) analysis, specimen needs to be drawn in separate tube. 
Transport temperature:
Room temperature.
Specimen stability:
4 hours
Rejection criteria:
Overfilled tube, underfilled tube, stability limit exceeded, tube system use, centrifugation of whole blood, refrigeration of whole blood.

TEST DETAILS
Reference interval:
>= 550
CPT code(s):
85576
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
PFASA
Methodology:
Whole Blood Aggregation
Synonyms:
Aspirin test, % Inhibition of aspirin
Clinical significance:
Aspirin is used to permanently alter the platelet enzyme cyclo-oxgenase and block the Thromboxane A2 pathway. The effect of aspirin lasts while the platelets are in circulation. Aspirin use will result in a lower answer than the reference range.
Doctoral Director(s:)
Michelle Grant DO    
Review Date: 04/29/2019

Performing Locations

Geisinger Medical Center

Performing laboratory: Coagulation
Technical Lead: Margaret Knowles-Tuchman
Frequency: Daily, all shifts
Performed stat? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: Coagulation
Technical Lead: Amanda Mika    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Community Medical Center

Performing laboratory: Hematology
Technical Lead: Renee Bordo, Robert Furcon  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Lewistown Hospital

Performing laboratory: Coagulation
Technical Lead: Lisa Sheaffer  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Holy Spirit Hospital

Performing laboratory: ATL+
Technical specialist: Hadeel Naghnaghieh    
Frequency: Daily, all shifts    
Performed stat? Yes
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*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
GCMC - Geisinger Community Medical Center (Scranton); GLH - Geisinger Lewistown Hospital; GHS - Geisinger Holy Spirit; GJSH - Geisinger Jersey Shore Hospital,
GSWB - Geisinger South Wilkes-Barre