Test Code MIX STUDY Mixing Studies, Plasma
Methodology
Includes partial thrombin time (PTT) mixing study, prothrombin time (PT) mixing study, and international normalized ratio (INR).
Performing Laboratory
Decatur Morgan Hospital-Decatur Campus
Specimen Requirements
If incubation is required, PT/PTT must be specified and incubation times will be the initial test followed by 30-, 60-, 90-, and 120 minutes at 37° C.
1. Draw blood in a blue-top (citrate) tube(s). Spin down, remove plasma, spin plasma again, and place 0.5 mL of citrate platelet-poor plasma in plastic vial. (Glass vial is not acceptable.)
Note: Double-centrifuged specimen
is critical for accurate results as platelet contamination may
cause spurious results.
2. If test is not performed immediately, send specimen frozen.
Note: 1. Indicate Prothrombin Time
(PT) or Partial Thromboplastin Time (PTT) Mixing Study on
request form.
2. Each coagulation assay requested should have its own vial.
Reference Values
PTT MIXING STUDY
22.0-36.0 seconds
PT MIXING STUDY
9.2-11.7 seconds
Note: The presence of anticoagulant inhibitor drugs such as heparin or direct thrombin inhibitors can not be excluded.
Test Classification and CPT Coding
85611 - PT, mixing study
85732 - PTT, mixing study