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Test Code FVIII FACTOR VIII (8) ASSAY

Additional Codes

Software Test Code
Label Text FVIII
EPIC LAB306

Performing Laboratory

NorDx Laboratories

Useful For

Measuring factor VIII (8) activity.

Method Name

Clot-Based Assay

Reference Values

FACTOR VIII

Adults: 50-200%

Days and Times Test Performed

Monday through Friday, 8:00 am-3:00 pm

Report Available

Approximately 48 hours for STAT collections

Approximately 1 week for routine collections

Specimen Type

Plasma

Preferred Container

Light Blue Top Tube (Sodium Citrate)

Specimen Collection and Handling

1. Draw blood in light blue-top (3.2% sodium citrate) tube(s). Tube(s) must be full upon collection.

2. Separate plasma from cells as soon as possible within 4 hours of collection in a centrifuge at 2,500 rpm for 15 minutes or 3,000 rpm for 10 minutes.

3. Using a plastic transfer pipette (do not use a glass pipette) decant the plasma to a screw-capped, plastic (polypropylene) vial. Glass vials will not be accepted.

4. Spin the plasma again at 2,500 rpm for 15 minutes or 3,000 rpm for 10 minutes. Note: Double spinning the specimen ensures platelet poor plasma (<10,000 uL)

5. Divide the plasma into as many 0.5-1.0 mL aliquots as possible and cap the vial(s) tightly.

6. Place tubes upright and flash freeze specimen(s) immediately at ≤ – 20° C or below.

7. Send specimen(s) FROZEN on dry ice.

Click here to view the Procedure for Collecting a Specimen from an A-line

Specimen Stability Information

Specimen Type: Plasma

Room Temp: 4 Hours

Note: Whole blood that remains capped and unspun is stable for up to 4 hours when stored at room temperature (18 – 24°C). Frozen plasma is stable 2 weeks @ -20°C and 12 months @ -70°C. Blue top tubes for factor assays must not be refrigerated or placed on ice.

Add On Capable

Yes – if testing is added before the specimen is past 4 hour stability limit at room temperature. Add on testing also possible if plasma is still available frozen @ -70°C. Please contact the Bramhall Special Coagulation Laboratory to verify that frozen plasma is still available to perform the request.

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

85240 Clotting, Factor VIII (AHG), 1-stage  

Keywords

FACTOR ACTIVITY

FACTOR 8

FACTOR LEVEL

COAGULATION FACTOR ASSAY

Clinical Significance

Coagulation testing is highly complex, often requiring the performance of multiple assays and correlation with clinical information.

Rejection Information

Specimens will be rejected if under filled (<90%), clotted, high hematocrit (>55%), or grossly hemolyzed.