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Epic Code LAB314 Fibrinogen Level

Important Note

There is currently a nationwide shortage of this tube. Please take steps to ensure specimen integrity to reduce recollection. Specimen Tube Shortage (link)

Test Name Alias

Fibrinogen Blood Level | 8413

Interface Order Alias

10040

Clinical Information

Useful for the quantitative determination of fibrinogen in plasma. 

 

Depressed levels of fibrinogen may be of acquired or congenital origin.  An acquired fibrinogen deficiency may occur as result of intravascular proteolysis of fibrinogen by thrombin, snake venoms, or plasmin.  Moderate hypofibrinogenemia my occur in the case of diminished production, increased loss, or degradation of fibrinogen.  Fibrinogen is an acute phase protein and depending on the clinical state, may lead to temporary, transitory, or persistent hyperfibrinogenemia.  Levels of fibrinogen increase slightly with age.

Icons & Photos

Collection Instructions

Specimen Collection: Blood

 

Container(s): 3.2% Na Citrate Tube (blue top)

Preferred Volume to Collect: 2.7 mL (full tube)

Minimum Volume to Collect: 1.8 mL (full tube)

Capillary collect ok: No

Microtainer acceptable: No

 

Collection Instructions:

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Processed Specimen: Platelet Poor Plasma

 

Centrifuge/Spin: Yes

Aliquot: Yes

 

Processing Instructions:

  • Detailed instructions (link): Preparing Platelet Poor Plasma
  • Separate plasma into 2 - 3 aliquots, minimum of 0.5 mL each.
  • Freeze aliquots in plastic transport tubes immediately.

Transport Temperature:

  • Ambient (up to 4 hours in whole blood state)
  • Frozen (plasma only >4 hours)

Rejection Criteria

  • Hemolysis
  • Specimen has been thawed

Specimen Stability

Ambient: 4 hours

Frozen: Aliquot plasma for longer storage

Laboratory Retention:  24 hours

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

190 - 400 mg/dL

Laboratory Critical Values Table

Performing Department

COAGULATION

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Ludington Laboratory, Ludington, MI

Methodology

Clot Based Clauss Assay

CPT

85384

CDM Code

4098413

Epic Test ID

1230100689

LOINC

Fibrinogen Lvl: 3255-7

Beaker LOINC

FIBRINOGEN LEVEL: 3255-7
FIBRINOGEN NO CLOT DETECTED: N/A

Reviewed Date

10/11/2021

Beaker Names

Beaker Procedure Name: FIBRINOGEN
Beaker Display Name: Fibrinogen Level
BEAKER TEST NAME: FIBRINOGEN
BEAKER TEST REPORT NAME: Fibrinogen

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW COAGULATION: BLUE TOP TUBE (Preferred)
BL COAGULATION: BLUE TOP TUBE (Preferred)
BR COAGULATION: BLUE TOP TUBE (Preferred)
GM COAGULATION: BLUE TOP TUBE (Preferred)
LH COAGULATION: BLUE TOP TUBE (Preferred)