Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

SOLUBLE FIBRIN MONOMERS

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB3072         Geisinger Epic ID: 7159

SPECIMEN COLLECTION
Specimen type:
Platelet-free plasma
Preferred collection container:
Alternate Collection Container:
Other size blue-top (3.2% sodium citrate) tubes (e.g., 1.8 mL, 4.5 mL)
Specimen required:
1 mL aliquot of plasma; minimum 1 mL.
Special notes:
Deliver specimen immediately to the Hematology Laboratory after collection.

SPECIMEN PROCESSING
Specimen processing instructions:
Centrifuge at designated time and speed to obtain platelet-poor plasma (<10,000/µL). 
Transport temperature:
Room temperature. DO NOT FREEZE.
Specimen stability:
Stable for 2 hours at 20-25ºC.
Rejection criteria:
Clotted specimen or underfilled or overfilled tube. Markedly hemolyzed, lipemic, or icteric specimen. Stability limits exceeded. HCT > 55 requires rejection, reorder, and recollection with proper adjustment of anticoagulant.

TEST DETAILS
Reference interval:
Negative.
CPT code(s):
85366
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.
Methodology:
RBC Agglutination
Synonyms:
Fibrin Monomer, Soluble Fibrin Monomers, SFM
Clinical significance:
Soluble fibrin monomers test is useful in differentiating DIC from primary fibrinolysis. Sample may be diluted 1:5 in saline if DIC is suspected. Contact lab if desired.
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: ATL+
Technical Lead: Julia Bell    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Community Medical Center

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